340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WILLIAMS BROS HEALTH CARE PHARMACY
FQHCLA359C Southern Indiana Community Health Care Inc
Print
Covered Entity Details
Entity Name
Southern Indiana Community Health Care Inc
Subdivision Name
Crawford Family Medicine
Type
Health Center Program Look-Alike
340B ID
FQHCLA359C
Entity Address
5604 E. White Oak Lane
Marengo, IN 47140
Grant Number
LALCS31528
Participating Start Date
1/1/2018
Last Recertification Date
2/19/2019
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
WILLIAMS BROS HEALTH CARE PHARMACY
Pharmacy Address
889 N GOSPEL ST STE 2
P.O. BOX 169
PAOLI, IN 47454-9217
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Nancy Radcliff, CEO
(812) 723-3944
Contract Pharmacy Representative
WIlliams Brothers
Mark Williams, Owner
(812) 254-8731
Signed By Date
4/15/2019
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