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PUBLIX ALABAMA, LLC
STD35630 AIDS Action Coalition of Huntsville
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Covered Entity Details
Entity Name
AIDS Action Coalition of Huntsville
Subdivision Name
Thrive Alabama
Type
Sexually Transmitted Diseases
340B ID
STD35630
Entity Address
112 South Pine St
Florence, AL 35630
Grant Number
5 NH25PS005129-05-00
Participating Start Date
4/1/2017
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
PUBLIX ALABAMA, LLC
Pharmacy Address
PUBLIX PHARMACY #1629
2286 ZIERDT RD
HUNTSVILLE, AL 35824
Pharmacy Comments
Contract Details
Approval Date
7/20/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Elizabeth Marr, CEO
(256) 337-8283
Contract Pharmacy Representative
Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388
Signed By Date
7/20/2023
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