340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PUBLIX SUPER MARKETS
STD323011 big bend cares
Print
Covered Entity Details
Entity Name
big bend cares
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD323011
Entity Address
2200 S Monroe St
Tallahassee, FL 32301
Grant Number
6 NH25PS005131-05-04
Participating Start Date
1/1/2017
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS
Pharmacy Address
PUBLIX PHARMACY #0610
5032 CAPITAL CIRCLE SW, SUITE 1
TALLAHASSEE, FL 32305
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
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session