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WINN-DIXIE STORES
CH049070 COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
Subdivision Name
Evara Health - Johnnie Ruth Clarke
Type
HRSA-Funded Health Center
340B ID
CH049070
Entity Address
1344 22nd St S
Saint Petersburg, FL 33712-2744
Grant Number
H80CS00463
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WINN-DIXIE STORES
Pharmacy Address
WINN-DIXIE PHARMACY #698
1049-62ND AVE NORTH
ST PETERSBURG, FL 33702
Pharmacy Comments
Contract Details
Approval Date
7/7/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/20/2024
Agreement registered in error
Contacts
Covered Entity Signing Official
Elodie Leigh Dorso, CEO
(727) 824-8100
Contract Pharmacy Representative
Southeastern Grocers LLC
Michael LeBlanc, Sr.Director, Pharmacy
(904) 783-5897
Signed By Date
7/7/2021
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