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PUBLIX SUPER MARKETS
STD336071 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
HIV & STD Prevention & Care Services
Type
Sexually Transmitted Diseases
340B ID
STD336071
Entity Address
2123 W. Doctor MLK Jr. Blvd.
Suite 202
Tampa, FL 33607
Grant Number
NH25PS005131
Participating Start Date
4/1/2018
Last Recertification Date
5/8/2024
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS
Pharmacy Address
PUBLIX PHARMACY #0663
11255 CAUSEWAY BLVD
BRANDON, FL 33511
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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