340B Drug Pricing Program Database

Pharmacy Name

BAYCARE HOME CARE INC

Pharmacy Address

D/B/A BAYCARE PHARMACY
620 10TH ST. NORTH
ST. PETERSBURG, FL 33705

Pharmacy Comments

Approval Date

4/20/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/30/2017
Ownership change

Covered Entity Signing Official


Contract Pharmacy Representative

Iqbal Burney, Director of Pharmacy
(727) 394-6577

Signed By Date