340B Drug Pricing Program Database


PRAIRIE MEDICAL PHARMACY - information as of 4/28/2025 11:29:34 PM


PRAIRIE MEDICAL PHARMACY

1000 HEALTH CENTER DRIVE
MATTOON, IL 61938



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH141346-00Sarah Bush Lincoln Fayette County Hospital Critical Access Hospital650 W. Taylor Street
VANDALIAIL04/01/2025 4/1/2025 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  PRAIRIE MEDICAL PHARMACY 1000 HEALTH CENTER DRIVE MATTOON, IL 619389/29/2017 6:44 AM
AddressesPharmacy AddressUpdate PRAIRIE MEDICAL PHARMACY 500 HEALTH CENTER DRIVE MATTOON, IL 61938PRAIRIE MEDICAL PHARMACY 1000 HEALTH CENTER DRIVE MATTOON, IL 619387/3/2013 9:03 AM
DetailsCommentsInsert   3/28/2013 4:21 PM
DetailsIs DeletedInsert  False3/28/2013 4:21 PM
AddressesPharmacy AddressInsert  PRAIRIE MEDICAL PHARMACY 500 HEALTH CENTER DRIVE MATTOON, IL 619383/28/2013 4:21 PM
DetailsNameInsert  PRAIRIE MEDICAL PHARMACY3/28/2013 4:21 PM