Contract Pharmacy Details

PUBLIX SUPER MARKETS, INC.
CH044310 MCR Health, Inc.

Covered Entity Details

Entity Name

MCR Health, Inc.

Subdivision Name

EDGAR J. PRICE FAMILY & CHILDREN HEALTHCARE CENTER

Type

HRSA-Funded Health Center

340B ID

CH044310

Entity Address

12271 US HIGHWAY 301 NORTH
Parrish, FL 34219-8410

Grant Number

H80CS00097

Participating Start Date

12/1/1992

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

PUBLIX SUPER MARKETS, INC.

Pharmacy Address

PUBLIX PHARMACY #1528
2551 SE HIGHWAY 70
ARCADIA, FL 34266

Pharmacy Comments

Contract Details

Approval Date

4/15/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Linda Anne Snyder, Chief Compliance Officer/VP Government Affairs,HR
(941) 304-7975

Contract Pharmacy Representative

Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388

Signed By Date

4/15/2023

340B Drug Pricing Program Database