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WINN-DIXIE STORES, INC.
STD337132 Love the Golden Rule, Inc.
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Covered Entity Details
Entity Name
Love the Golden Rule, Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD337132
Entity Address
3600 Central Ave
SAINT PETERSBURG, FL 33711
Grant Number
NH25PS004342
Participating Start Date
7/1/2018
Last Recertification Date
5/16/2024
Pharmacy Details
Pharmacy Name
WINN-DIXIE STORES, INC.
Pharmacy Address
PATHSTONE HEALTH SERVICES
5244 EDGEWOOD COURT, SUITE 2
JACKSONVILLE, FL 32254
Pharmacy Comments
Contract Details
Approval Date
5/21/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/23/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Robert J Wallace, Medical Director
(727) 826-0700
Contract Pharmacy Representative
SE Grocers
Vallery Huston, Specialty Pharmacy Director
(904) 370-6234
Signed By Date
4/11/2018
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