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PUBLIX SUPER MARKETS, INC.
STD336072 Hope and Help Center of Central Florida, Inc.
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Covered Entity Details
Entity Name
Hope and Help Center of Central Florida, Inc.
Subdivision Name
Diversity Health Center of Tampa Bay
Type
Sexually Transmitted Diseases
340B ID
STD336072
Entity Address
4302 N. Habana Ave.
Suite 200
Tampa, FL 33607-6368
Grant Number
NH25PS005131
Participating Start Date
4/1/2018
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS, INC.
Pharmacy Address
PUBLIX PHARMACY #1371
3863 SOUTH US HIGHWAY 301
RIVERVIEW, FL 33578
Pharmacy Comments
Contract Details
Approval Date
7/15/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2022
Agreement registered in error
Contacts
Covered Entity Signing Official
Lisa Barr, Executive Director
(407) 645-2577 Ext: 121
Contract Pharmacy Representative
Publix Super Markets
Dain Rusk, Vice President Pharmacy
(863) 616-5846
Signed By Date
7/15/2022
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