340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SHAKAMAK HEALTH INC
CAH151317-00 GREENE COUNTY GENERAL HOSPITAL
Print
Covered Entity Details
Entity Name
GREENE COUNTY GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151317-00
Entity Address
1185 N 1000 W
LINTON, IN 47441-9457
Medicare Provider Number
151317
Participating Start Date
1/1/2015
Last Recertification Date
8/26/2024
Pharmacy Details
Pharmacy Name
SHAKAMAK HEALTH INC
Pharmacy Address
D/B/A SHAKAMAK PHARMACY
346 E MAIN ST
JASONVILLE, IN 47438
Pharmacy Comments
Contract Details
Approval Date
7/17/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
April Settles, CFO
(812) 847-5212
Contract Pharmacy Representative
shakamak pharmacy
traver lee wolf, owner
(812) 665-9760
Signed By Date
7/17/2018
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