Contract Pharmacy Details

PUBLIX SUPER MARKETS
RWII34239 CAN Community Health, Inc.

Covered Entity Details

Entity Name

CAN Community Health, Inc.

Subdivision Name

Sarasota

Type

Ryan White Part B

340B ID

RWII34239

Entity Address

1425 S. Osprey Avenue
Sarasota, FL 34239

Grant Number

X07HA00057

Participating Start Date

1/1/2014

Last Recertification Date

3/3/2025

Pharmacy Details

Pharmacy Name

PUBLIX SUPER MARKETS

Pharmacy Address

PUBLIX PHARMACY #0828
2875 UNIVERSITY PARKWAY
SARASOTA, FL 34243

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

340B Drug Pricing Program Database