340B Drug Pricing Program Database
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PUBLIX SUPER MARKETS, INC.
RWII32301A Big Bend Cares
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Covered Entity Details
Entity Name
Big Bend Cares
Subdivision Name
Type
Ryan White Part B
340B ID
RWII32301A
Entity Address
2200 S. Monroe St
Tallahassee, FL 32301
Grant Number
X07HA00057
Participating Start Date
1/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS, INC.
Pharmacy Address
PUBLIX PHARMACY #1427
2111 NE CAPITAL CIRCLE
TALLAHASSEE, FL 32308
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Renzi, CEO
(850) 656-2437 Ext: 240
Contract Pharmacy Representative
Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388
Signed By Date
4/11/2024
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