340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NORTH FLORIDA PHARMACY OF MADISON INC.
CH040380 NORTH FLORIDA MEDICAL CENTERS, INC.
Print
Covered Entity Details
Entity Name
NORTH FLORIDA MEDICAL CENTERS, INC.
Subdivision Name
North Florida Medical Centers, Inc.
Type
HRSA-Funded Health Center
340B ID
CH040380
Entity Address
2804 Remington Green Cir
Tallahassee, FL 32308-8707
Grant Number
H80CS00693
Participating Start Date
4/1/2001
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
NORTH FLORIDA PHARMACY OF MADISON INC.
Pharmacy Address
139 SW MACON ST
MADISON, FL 32340
Pharmacy Comments
Contract Details
Approval Date
7/19/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tori Wiggins, CFO
(850) 298-6040
Contract Pharmacy Representative
Signed By Date
7/19/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session