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PUBLIX TENNESSEE, LLC
RRC440073-00 Maury Regional Hospital
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Covered Entity Details
Entity Name
Maury Regional Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC440073-00
Entity Address
1224 Trotwood Ave
Columbia, TN 38401
Medicare Provider Number
440073
Participating Start Date
7/1/2013
Last Recertification Date
8/31/2021
Entity Termination Date
10/1/2022
Pharmacy Details
Pharmacy Name
PUBLIX TENNESSEE, LLC
Pharmacy Address
PUBLIX PHARMACY #1047
4935 MAIN STREET
SPRING HILL, TN 37174-9242
Pharmacy Comments
Contract Details
Approval Date
10/28/2020
Contract Begin Date
12/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Deborah Lumpkins, Sr. VP/CNO
(931) 490-7118
Contract Pharmacy Representative
Publix Super Markets
Jacqueline Rush, Manager of Managed Care, Pharmacy Operations
(863) 688-1188 Ext: 52364
Signed By Date
10/28/2020
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