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PUBLIX SUPER MARKETS
STD328065 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
Piñero Preventive Medical Care
Type
Sexually Transmitted Diseases
340B ID
STD328065
Entity Address
2766 E. Colonial Drive
Orlando, FL 32803
Grant Number
NU62PS924741
Participating Start Date
4/1/2018
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS
Pharmacy Address
PUBLIX PHARMACY #0659
2015 EDGEWATER DRIVE
ORLANDO, FL 32804
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/10/2024
Business decision by covered entity and/or pharmacy
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
10/17/2022
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