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WINN-DIXIE STORES, INC.
STD323012 MAACA - Minority Alliance for Advocating Community Awareness & Action
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Covered Entity Details
Entity Name
MAACA - Minority Alliance for Advocating Community Awareness & Action
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD323012
Entity Address
1375 Cross Creek Circle
B
Tallahassee, FL 32301
Grant Number
NH25PS005131
Participating Start Date
4/1/2020
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WINN-DIXIE STORES, INC.
Pharmacy Address
PATHSTONE HEALTH SERVICES
5244 EDGEWOOD COURT, SUITE 2
JACKSONVILLE, FL 32254
Pharmacy Comments
Contract Details
Approval Date
2/11/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/8/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sylvia Hubbard, Executive Director
(850) 942-6222
Contract Pharmacy Representative
winn-dixe stores inc
Vallery Huston, Pharamacy Director
(904) 370-5016
Signed By Date
1/14/2020
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