340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PUBLIX SUPER MARKETS
DSH100230 MEMORIAL HOSPITAL PEMBROKE
Print
Covered Entity Details
Entity Name
MEMORIAL HOSPITAL PEMBROKE
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH100230
Entity Address
7800 SHERIDAN STREET
PEMBROKE PINES, FL 33024
Medicare Provider Number
100230
Participating Start Date
1/1/2003
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS
Pharmacy Address
PUBLIX PHARMACY # 0715
3102 GRIFFIN RD
DANIA BEACH, FL 33312
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/28/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stephen L Demers, CEO
(954) 538-4800
Contract Pharmacy Representative
Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388
Signed By Date
1/17/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session