340B Drug Pricing Program Database

Pharmacy Name

PRESTIGE PHARMACY, INC.

Pharmacy Address

PRESTIGE PHARMACY INC.
36-42 JAMES ST
MIDDLETOWN, NY 10940-5765

Pharmacy Comments

Approval Date

5/16/2011

Contract Begin Date

6/1/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2018
Covered Entity Terminated

Covered Entity Signing Official


Contract Pharmacy Representative

Signed By Date

5/4/2011