340B Drug Pricing Program Database

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PUBLIX PHARMACY #0603
DSH110046 PIEDMONT WALTON HOSPITAL, INC.

Covered Entity Details

Disproportionate Share Hospital
DSH110046
2151 WEST SPRING STREET
MONROE, GA 30655
110046
4/1/2019
8/23/2021
1/1/2022


Pharmacy Details

4325 ATLANTA HIGHWAY
LOGANVILLE, GA 30052

Contract Details

4/10/2019
7/1/2019

1/1/2022
Covered Entity Terminated


Contacts


John G. Miles, Vice President / CFO
(770) 400-2336



Publix
Kimberly Bone, Manager of Managed Care, Pharmacy Operations
(863) 688-1188 Ext: 52364
4/10/2019