340B Drug Pricing Program Database
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PUBLIX ALABAMA, LLC
CH040130 HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
HEALTH SERVICES, INC.
Subdivision Name
River Region
Type
HRSA-Funded Health Center
340B ID
CH040130
Entity Address
1845 CHERRY STREET
MONTGOMERY, AL 36107
Grant Number
H80CS00795
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PUBLIX ALABAMA, LLC
Pharmacy Address
PUBLIX PHARMACY #1027
3026 ZELDA ROAD
MONTGOMERY, AL 36106-2651
Pharmacy Comments
Contract Details
Approval Date
10/5/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gilbert F. Darrington, CEO
(334) 420-5001 Ext: 114
Contract Pharmacy Representative
Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388
Signed By Date
10/5/2023
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