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WINN DIXIE MONTGOMERY, LLC.
CH0452890 ESCAMBIA COMMUNITY CLINICS INC
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Covered Entity Details
Entity Name
ESCAMBIA COMMUNITY CLINICS INC
Subdivision Name
Escambia Community Clinics, Inc. Corporate Offices
Type
HRSA-Funded Health Center
340B ID
CH0452890
Entity Address
2315 West Jackson Street
PENSACOLA, FL 32505-1736
Grant Number
H80CS08755
Participating Start Date
1/1/2009
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WINN DIXIE MONTGOMERY, LLC.
Pharmacy Address
WINN-DIXIE PHARMACY #495
5975 MOBILE HWY
PENSACOLA, FL 32526
Pharmacy Comments
Contract Details
Approval Date
1/15/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/27/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Chandra Smiley, Chief Executive Officer
(850) 472-0053
Contract Pharmacy Representative
John Fegan, VP of Pharmacy
(904) 783-5000
Signed By Date
1/15/2016
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