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WINN DIXIE STORE #186
CH04038B NORTH FLORIDA MEDICAL CENTERS, INC.
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Covered Entity Details
Entity Name
NORTH FLORIDA MEDICAL CENTERS, INC.
Subdivision Name
WAKULLA MEDICAL CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH04038B
Entity Address
1328 Coastal Hwy
Panacea, FL 32346-2151
Grant Number
H80CS00693
Participating Start Date
7/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WINN DIXIE STORE #186
Pharmacy Address
2629 CRAWFORDVILLE HWY
CRAWFORDVILLE, FL 32327
Pharmacy Comments
Contract Details
Approval Date
6/30/2007
Contract Begin Date
6/30/2007
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/12/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
6/6/2007
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