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PUBLIX SUPER MARKETS INC
DSH110229 Piedmont Newnan Hospital, Inc.
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Covered Entity Details
Entity Name
Piedmont Newnan Hospital, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110229
Entity Address
745 Poplar Road
Newnan, GA 30265
Medicare Provider Number
110229
Participating Start Date
7/1/2013
Last Recertification Date
9/3/2019
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS INC
Pharmacy Address
PUBLIX PHARMACY #799
1200 HWY 74 S STE 20
PEACHTREE CITY, GA 30269
Pharmacy Comments
Contract Details
Approval Date
4/10/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
John G. Miles, Vice President / CFO
(770) 400-2336
Contract Pharmacy Representative
Publix
Kimberly Bone, Manager of Managed Care, Pharmacy Operations
(863) 688-1188 Ext: 52364
Signed By Date
4/10/2019
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