340B Drug Pricing Program Database
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PUBLIX SUPER MARKETS
RWII33901 AIDS HEALTHCARE FOUNDATION
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Covered Entity Details
Entity Name
AIDS HEALTHCARE FOUNDATION
Subdivision Name
AIDS Healthcare Center- Fort Myers
Type
Ryan White Part B
340B ID
RWII33901
Entity Address
2320 Cleveland Ave.
Fort Myers, FL 33901
Grant Number
X07HA00057
Participating Start Date
7/1/2014
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS
Pharmacy Address
PUBLIX PHARMACY #0676
2450 VANDERBILT BEACH RD
NAPLES, FL 34109
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
Rena DeStefano, Director of Pharmacy Finance
(631) 370-2022
Contract Pharmacy Representative
Publix
Amin Mrugesh, 340B Program Manager
(863) 688-1188 Ext: 52388
Signed By Date
7/15/2024
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