340B Drug Pricing Program Database

Pharmacy Name

ST.CATHERINE HOSPITAL OUTPATIENT PHARMAC

Pharmacy Address

4321 FIR ST
EAST CHICAGO, IN 46312-3049

Pharmacy Comments

Approval Date

7/12/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Ibrahim Mohammed Najamuddin, Executive Director
(219) 703-2585

Contract Pharmacy Representative

st Catherines hospital
zorano dypkowski, pharmacy manager
(219) 392-7691

Signed By Date

7/12/2019