340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PUBLIX SUPER MARKETS INC
DSH110191 PIEDMONT HENRY HOSPITAL INC.
Print
Covered Entity Details
Entity Name
PIEDMONT HENRY HOSPITAL INC.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH110191
Entity Address
1133 EAGLES LANDING PARKWAY
STOCKBRIDGE, GA 30281
Medicare Provider Number
110191
Participating Start Date
4/1/2023
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS INC
Pharmacy Address
PUBLIX PHARMACY #92
250 EAST ATLANTA ROAD
STOCKBRIDGE, GA 30281
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
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
Wesley James, CFO
(678) 604-1001
Contract Pharmacy Representative
Publix
Kimberly Bone, Manager of Managed Care, Pharmacy Operations
(863) 688-1188 Ext: 52364
Signed By Date
4/15/2019
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