340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

PRIME THERAPEUTICS SPECIALTY PHARMACY LL


PRIME THERAPEUTICS SPECIALTY PHARMACY LL

ALLIANCERX WALGREENS PRIME #16568
2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDO, FL 32819-9992



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Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
 
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DetailsCAH031318-00BANNER PAYSON MEDICAL CENTER Critical Access Hospital807 S. PONDEROSA
PAYSONAZ04/01/202011/09/20223/21/2023 1:05 PM
DetailsCAH051309-00JEROLD PHELPS COMMUNITY HOSPITAL Critical Access Hospital733 CEDAR STREET
GARBERVILLECA01/01/201808/14/20238/14/2023 12:45 PM
DetailsCAH051309-01JEROLD PHELPS COMMUNITY HOSPITALSOUTHERN HUMBOLDT COMMUNITY CLINICCritical Access Hospital509 ELM STREET
GARBERVILLECA01/01/201808/14/20239/19/2023 3:04 PM
DetailsCAH061305-00East Phillips County Hospital District d/b/a MELISSA MEMORIAL HOSPITAL Critical Access Hospital1001 East JOHNSON ST
HOLYOKECO07/01/201807/19/20207/29/2020 12:32 PM
DetailsCAH061308-00Conejos County Hospital Corporation Critical Access Hospital19021 US Hwy 285
La JaraCO10/01/201710/02/201710/9/2017 4:12 PM
DetailsCAH111305-00Hospital Authority of Miller County DBA Miller County Hospital Critical Access Hospital209 N. Cuthbert St
ColquittGA07/01/201910/01/202210/6/2022 4:57 PM
DetailsCAH111306-00EFFINGHAM HEALTH SYSTEM Critical Access Hospital459 HIGHWAY 119 SOUTH
SPRINGFIELDGA10/01/2017 10/1/2017 12:00 AM
DetailsCAH131307-00Weiser Valley Hospital District, dba Weiser Memorial Hospital Critical Access Hospital645 East 5th Street
WeiserID01/01/201909/27/202210/24/2022 10:57 AM
DetailsCAH131307-01Weiser Valley Hospital District, dba Weiser Memorial HospitalWeiser Memorial Hospital Clinic (WMH Clinic)Critical Access Hospital360 East Liberty Street
WeiserID01/01/2019 1/1/2019 12:05 AM
DetailsCAH131310-00St Luke's Jerome, Ltd. Critical Access Hospital709 NORTH LINCOLN AVE
JEROMEID04/01/201810/01/202210/10/2022 5:38 PM
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