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PUBLIX SUPER MARKETS
STD327921 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
Hope and Help Center of Central Florida, Inc.
Type
Sexually Transmitted Diseases
340B ID
STD327921
Entity Address
4122 Metric Dr.
Suite 800
Winter Park, FL 32792-6809
Grant Number
NU62PS924741
Participating Start Date
4/1/2017
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS
Pharmacy Address
PUBLIX PHARMACY #1015
6485 S CHICKASAW TR
ORLANDO, FL 32829
Pharmacy Comments
Contract Details
Approval Date
7/17/2023
Contract Begin Date
10/1/2023
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
7/17/2023
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