340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PUBLIX SUPER MARKETS, INC.
RWI337121 St. Josephs Hospital
Print
Covered Entity Details
Entity Name
St. Josephs Hospital
Subdivision Name
Pinellas Care Clinic
Type
Ryan White Part A
340B ID
RWI337121
Entity Address
1201 5th Ave N
Suite 409
St. Petersburg, FL 33705
Grant Number
H89HA00024
Participating Start Date
7/1/2016
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
PUBLIX SUPER MARKETS, INC.
Pharmacy Address
PUBLIX PHARMACY #3220
620 10TH ST. N. SUITE 101
ST PETERSBURG, FL 33705
Pharmacy Comments
Contract Details
Approval Date
1/5/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/5/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carl Tremonti, Chief Financial Officer
(813) 870-4020
Contract Pharmacy Representative
BayCare Health System
Michael Magee, Vice President of Pharmacy
(813) 870-4020
Signed By Date
1/5/2018
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