340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MITCHELL CANCER INSTITUTE PHARMACY
PED013301-00 USA Health Children's and Women's Hospital
Print
Covered Entity Details
Entity Name
USA Health Children's and Women's Hospital
Subdivision Name
Type
Children's Hospital
340B ID
PED013301-00
Entity Address
1700 Center Street
Mobile, AL 36604-3301
Medicare Provider Number
013301
Participating Start Date
7/1/2013
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
MITCHELL CANCER INSTITUTE PHARMACY
Pharmacy Address
UNIVERSITY OF SOUTH ALABAMA MITCHELL CAN
1660 SPRING HILL AVE
STE 3069
MOBILE, AL 36604
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Traci Jones, CFO
(251) 445-9164
Contract Pharmacy Representative
USA Health Mitchell Cancer Institute Pharmacy
Theresa McLaughlin, MCI Administrator
(251) 434-3648
Signed By Date
1/15/2019
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