340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PUBLIX SUPER MARKETS, INC.
SCH100090-00 FLAGLER HOSPITAL
Print
Covered Entity Details
Entity Name
FLAGLER HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH100090-00
Entity Address
400 HEALTH PARK BLVD
ST AUGUSTINE, FL 32086
Medicare Provider Number
100090
Participating Start Date
7/1/2018
Last Recertification Date
9/23/2019
Entity Termination Date
10/1/2020
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS, INC.
Pharmacy Address
PUBLIX PHARMACY 3227
300 HEALTH PARK BLVD STE 1002
SAINT AUGUSTINE, FL 32086-3702
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
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Murray Sherwood Marsh, Jr., Chief Financial Officer
(904) 819-4400
Contract Pharmacy Representative
Publix
Kimberly Bone, Manager of Managed Care, Pharmacy Operations
(863) 688-1188 Ext: 52364
Signed By Date
4/10/2019
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