340B Drug Pricing Program Database
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PUBLIX SUPER MARKETS,
STD333083 Light of Hope, Inc.
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Covered Entity Details
Entity Name
Light of Hope, Inc.
Subdivision Name
Light of Hope 2
Type
Sexually Transmitted Diseases
340B ID
STD333083
Entity Address
2021 E Commercial Blvd.
205
Fort Lauderdale, FL 33308
Grant Number
NH25PS004342
Participating Start Date
1/1/2024
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS,
Pharmacy Address
PUBLIX PHARMACY #1094
1415 EAST SUNRISE BOULEVARD
FORT LAUDERDALE, FL 33304
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristin Renae, Vice President
(954) 776-9992
Contract Pharmacy Representative
Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388
Signed By Date
4/15/2024
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