340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
JOHNS MEDICAL HILL PHARMACY
SCH530002-00 CAMPBELL COUNTY MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
CAMPBELL COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH530002-00
Entity Address
501 S BURMA AVENUE
GILLETTE, WY 82717-3011
Medicare Provider Number
530002
Participating Start Date
3/15/2022
Last Recertification Date
9/26/2023
Entity Termination Date
4/1/2024
Pharmacy Details
Pharmacy Name
JOHNS MEDICAL HILL PHARMACY
Pharmacy Address
407 MEDICAL ARTS COURT
SUITE A
GILLETTE, WY 82716
Pharmacy Comments
Contract Details
Approval Date
7/5/2018
Contract Begin Date
3/15/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
Dalton Huber, Chief Financial Officer
(307) 688-1523
Contract Pharmacy Representative
Medical Hills Pharmacy
John Hedding, Owner
(307) 685-2899
Signed By Date
7/5/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session