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PUBLIX PHARMACY #1365
RRC100062-00 AdventHealth Ocala
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Covered Entity Details
Entity Name
AdventHealth Ocala
Subdivision Name
Type
Rural Referral Center
340B ID
RRC100062-00
Entity Address
1500 SW 1st Ave
Ocala, FL 34471
Medicare Provider Number
100062
Participating Start Date
7/1/2019
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
PUBLIX PHARMACY #1365
Pharmacy Address
2765 NW 49TH AVE. SUITE 301
OCALA, FL 34482-3293
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/26/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Frances H Crunk, CFO
(352) 401-8498
Contract Pharmacy Representative
Publix Super Markets
Jacqueline Rush, Manager of Managed Care, Pharmacy Operations
(863) 688-1188 Ext: 52364
Signed By Date
4/14/2020
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