340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PUBLIX SUPER MARKETS,
STD33334 CAN Community Health, Inc.
Print
Covered Entity Details
Entity Name
CAN Community Health, Inc.
Subdivision Name
Oakland Park
Type
Sexually Transmitted Diseases
340B ID
STD33334
Entity Address
1421 E Oakland Park Blvd
Suite 200
Fort Lauderdale, FL 33334
Grant Number
1 NH25PS005131-01-00
Participating Start Date
7/1/2017
Last Recertification Date
5/27/2024
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS,
Pharmacy Address
PUBLIX PHARMACY #1094
1415 EAST SUNRISE BOULEVARD
FORT LAUDERDALE, FL 33304
Pharmacy Comments
Contract Details
Approval Date
1/22/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Richard E. Carlisle, President & CEO
(941) 366-0134 Ext: 11111
Contract Pharmacy Representative
Publix
Fred Ottolino, VP of Pharmacy Operations
(863) 688-1188 Ext: 52352
Signed By Date
1/22/2019
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