340B Drug Pricing Program Database
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PUBLIX SUPER MARKETS, INC.
RWI33308 AIDS Healthcare Foundation
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Covered Entity Details
Entity Name
AIDS Healthcare Foundation
Subdivision Name
AHF Healthcare Center - North Point
Type
Ryan White Part A
340B ID
RWI33308
Entity Address
6333 N. Federal Highway
Suite 302
Fort Lauderdale, FL 33308
Grant Number
H89HA00002
Participating Start Date
1/1/2013
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS, INC.
Pharmacy Address
PUBLIX PHARMACY #1719
8160 WILES RD
CORAL SPRINGS, FL 33067
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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