340B Drug Pricing Program Database

Pharmacy Name

MEDSTAR PHARMACY (STORE #9)

Pharmacy Address

25500 POINT LOOKOUT RD
LEONARDTOWN, MD 20650-2015

Pharmacy Comments

Approval Date

9/10/2018

Contract Begin Date

10/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/3/2021
Pharmacy closed

Covered Entity Signing Official

Carrie J Jennison, Chief Financial Officer
(301) 475-6003

Contract Pharmacy Representative

MedStar Health
Bonnie Levin, AVP, Pharmacy Services
(410) 772-6773

Signed By Date

9/7/2018