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PUBLIX SUPER MARKETS, INC.
CH040940 BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
BLUE RIDGE COMMUNITY HEALTH SERVICES, INC.
Subdivision Name
BLUE RIDGE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH040940
Entity Address
2579 CHIMNEY ROCK RD
HENDERSONVILLE, NC 28792
Grant Number
H80CS00650
Participating Start Date
7/1/1995
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS, INC.
Pharmacy Address
PUBLIX PHARMACY #3213
1950 SAND LAKE RD, BLDG #5
ORLANDO, FL 32809
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tammy Greenwell, CHIEF OPERATIONS OFFICER
(828) 233-2288
Contract Pharmacy Representative
Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388
Signed By Date
7/15/2024
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