340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PUBLIX TENNESSEE
DSH440039 Vanderbilt University Medical Center d/b/a Vanderbilt University Hospital and Clinic
Print
Covered Entity Details
Entity Name
Vanderbilt University Medical Center d/b/a Vanderbilt University Hospital and Clinic
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH440039
Entity Address
1211 MEDICAL CENTER DRIVE
NASHVILLE, TN 37232
Medicare Provider Number
440039
Participating Start Date
7/1/2002
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
PUBLIX TENNESSEE
Pharmacy Address
PUBLIX PHARMACY #160
2020 FIELDSTONE PKWY
FRANKLIN, TN 37069
Pharmacy Comments
Contract Details
Approval Date
4/19/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/8/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Phyllis Ekdall, Vice President of Finance, Clinical Enterprise
(615) 322-8801
Contract Pharmacy Representative
Publix Super Markets
Fred Ottolino, Vice President of Pharmacy Operations
(863) 688-1188
Signed By Date
4/19/2013
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