Contract Pharmacy Details

PUBLIX SUPER MARKETS, INC.
CH048950 SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)

Covered Entity Details

Entity Name

SE ALABAMA RURAL HEALTH ASSOCIATES (SARHA)

Subdivision Name

Administrative Offices

Type

HRSA-Funded Health Center

340B ID

CH048950

Entity Address

1414 Elba Hwy
Troy, AL 36079-6020

Grant Number

H80CS00376

Participating Start Date

7/1/1996

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

PUBLIX SUPER MARKETS, INC.

Pharmacy Address

PUBLIX PHARMACY #3213
1950 SAND LAKE RD, BLDG #5
ORLANDO, FL 32809

Pharmacy Comments

Contract Details

Approval Date

7/17/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

JOHN A. LITTLE, CEO
(334) 670-6726

Contract Pharmacy Representative

Publix
Kimberly Bone, Manager of Managed Care, Pharmacy Operations
(863) 688-1188 Ext: 52364

Signed By Date

7/17/2018

340B Drug Pricing Program Database