340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WINN-DIXIE STORES, INC.
STD46320 AIDS TASKFORCE OF LAPORTE AND PORTER COUNTIES d/b/a ALIVENESS PROJECT OF NORTHWEST INDIANA
Print
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
STD46320
Entity Address
5261 Hohman Ave
Hammond, IN 46320
Grant Number
NH25PS00513
Participating Start Date
4/1/2020
Last Recertification Date
5/14/2024
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
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