Contract Pharmacy Details

ASPCARES
FP392020 My Brother's Keeper, Inc

Covered Entity Details

Entity Name

My Brother's Keeper, Inc

Subdivision Name

Open Arms Healthcare Center

Type

Family Planning (Title X only)

340B ID

FP392020

Entity Address

805 East River Place
Jackson, MS 39202

Grant Number

FPHPA006550

Participating Start Date

10/1/2018

Last Recertification Date

5/23/2024

Pharmacy Details

Pharmacy Name

ASPCARES

Pharmacy Address

AMERICAN SPECIALTY PHARMACY, INC.
3405 NW EXPRESSWAY
OKLAHOMA CITY, OK 73112

Pharmacy Comments

Contract Details

Approval Date

4/15/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

June Gipson, CEO
(769) 216-2455

Contract Pharmacy Representative

Elite Analytics Group, Inc
Rex Green, CEO
(469) 899-2293

Signed By Date

4/15/2019

340B Drug Pricing Program Database