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WINN-DIXIE STORES, INC.
STD46360 AIDS TASKFORCE OF LAPORTE AND PORTER COUNTIES d/b/a ALIVENESS PROJECT OF NORTHWEST INDIANA
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Covered Entity Details
Entity Name
AIDS TASKFORCE OF LAPORTE AND PORTER COUNTIES d/b/a ALIVENESS PROJECT OF NORTHWEST INDIANA
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD46360
Entity Address
301 East 8th Street
Michigan City, IN 46360
Grant Number
NH25PS005139
Participating Start Date
4/1/2020
Last Recertification Date
5/20/2024
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
1/30/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Morris, Executive Director
(219) 985-6170
Contract Pharmacy Representative
winn-dixe stores inc
Vallery Huston, Pharamacy Director
(904) 370-5016
Signed By Date
1/14/2020
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