340B Drug Pricing Program Database

Pharmacy Name

ReCept Pharmacy #125

Pharmacy Address

5501 S. Halsted Street
Chicago, IL 60621

Pharmacy Comments

Approval Date

6/22/2018

Contract Begin Date

7/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

6/27/2018
Agreement registered in error

Covered Entity Signing Official


Contract Pharmacy Representative

ReceptRX
Clay Keene, Vice President, Client Services
(914) 705-9046

Signed By Date

2/18/2018