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PUBLIX ALABAMA
CHC26588-00 CHRIST HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CHRIST HEALTH CENTER, INC.
Subdivision Name
CHC - Woodlawn
Type
HRSA-Funded Health Center
340B ID
CHC26588-00
Entity Address
5720 1st Ave S
Birmingham, AL 35212-2522
Grant Number
H80CS26588
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PUBLIX ALABAMA
Pharmacy Address
PUBLIX PHARMACY #165
411 GREEN SPRINGS HWY
HOMEWOOD, AL 35209
Pharmacy Comments
Contract Details
Approval Date
1/10/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mike Benedict, COO
(205) 380-9436
Contract Pharmacy Representative
Publix
Kimberly Bone, Manager of Managed Care, Pharmacy Operations
(863) 688-1188 Ext: 52364
Signed By Date
1/10/2019
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