340B Drug Pricing Program Database


MEDICATE PHARMACY - information as of 4/28/2025 11:31:56 PM


MEDICATE PHARMACY

2166 MADISON AVE
GRANITE CITY, IL 62040



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH053320SIHF HealthcareSIHF HealthcareHRSA-Funded Health Center2041 Goose Lake Rd,
SaugetIL10/01/2015 5/9/2017 3:56 PM
DetailsCH05332TSIHF HealthcareSIHF Healthcare - Granite CityHRSA-Funded Health Center2166 Madison Ave
Granite CityIL10/01/2015 7/6/2015 9:03 AM
DetailsHV053320SIHF HealthcareADMINISTRATIVE OFFICERyan White Part C100 North 8th Street Suite 238
East St. LouisIL10/01/201510/12/201710/12/2017 2:18 PM
DetailsHV05332ASIHF HealthcareSIHF Healthcare - State StreetRyan White Part C2001 State Street
EAST ST LOUISIL10/01/201510/12/201710/12/2017 2:18 PM
DetailsHV05332DSOUTHERN ILLINOIS HEALTHCARE FOUNDATION (SIHF)SIHF ADULT CARE CENTERRyan White Part C6000 BOND AVENUE
CENTREVILLEIL10/01/201504/01/20171/26/2017 9:51 AM
DetailsHV05332FSIHF HealthcareSIHF Healthcare - AltonRyan White Part C4 Memorial Drive Building B, Suite210
AltonIL10/01/201510/12/201710/12/2017 2:17 PM
DetailsHV05332GSIHF HealthcareSIHF Healthcare – CentrevilleRyan White Part C6000 Bond Ave
CentrevilleIL10/01/201510/12/201710/12/2017 2:17 PM
DetailsHV05332PSIHF HealthcareSIHF Healthcare - VandaliaRyan White Part C1510 Sunset Dr
VandaliaIL10/01/201510/12/201710/12/2017 2:19 PM
DetailsHV05332TSIHF HealthcareSIHF Healthcare - Granite CityRyan White Part C2166 Madison Ave
Granite CityIL10/01/201510/12/201710/12/2017 2:16 PM
DetailsHV05332USIHF HealthcareSIHF Healthcare - Belleville FamilyRyan White Part C180 S. Third Street Suite 104
BellevilleIL10/01/201510/12/201710/12/2017 2:17 PM
DetailsHV05332VSIHF HealthcareSIHF Healthcare - Central AltonRyan White Part C2615 Edwards St Suite 171
AltonIL01/01/201610/12/201710/12/2017 2:20 PM
DetailsHV05332WSIHF HealthcareSIHF Healthcare - West BellevilleRyan White Part C7210 West Main St
BellevilleIL01/01/201610/12/201710/12/2017 2:19 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  MEDICATE PHARMACY 2166 MADISON AVE GRANITE CITY, IL 620409/29/2017 6:44 AM
DetailsCommentsInsert   3/25/2015 3:35 PM
DetailsIs DeletedInsert  False3/25/2015 3:35 PM
AddressesPharmacy AddressInsert  MEDICATE PHARMACY 2166 MADISON AVE GRANITE CITY, IL 620403/25/2015 3:35 PM
DetailsNameInsert  MEDICATE PHARMACY3/25/2015 3:35 PM