Contract Pharmacy Details

WINN DIXIE STORE #184
CHC26803-00 Neighborhood Medical Center Inc.

Covered Entity Details

Entity Name

Neighborhood Medical Center Inc.

Subdivision Name

Neighborhood Medical Center Lincoln Center

Type

HRSA-Funded Health Center

340B ID

CHC26803-00

Entity Address

438 W BREVARD ST
TALLAHASSEE, FL 32301-1004

Grant Number

H80CS26803

Participating Start Date

7/1/2014

Last Recertification Date

3/7/2025

Pharmacy Details

Pharmacy Name

WINN DIXIE STORE #184

Pharmacy Address

1632 W. JEFFERSON STREET
QUINCY, FL 32351

Pharmacy Comments

Contract Details

Approval Date

5/22/2016

Contract Begin Date

7/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/14/2020
Pharmacy closed

Contacts

Covered Entity Signing Official

Jeanne S Freeman, CEO
(850) 577-1558

Contract Pharmacy Representative

John Fegan, VP of Pharmacy
(904) 783-5000

Signed By Date

5/22/2016

340B Drug Pricing Program Database