340B Drug Pricing Program Database

Pharmacy Name

PRXP OF KS LLC

Pharmacy Address

PRXP OF KS LLC
300-340 SOUTHWEST BLVD
SUITE 103
KANSAS CITY, KS 66103

Pharmacy Comments

Approval Date

8/8/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

David Kilburn, Executive Director
(805) 781-3660 Ext: 212

Contract Pharmacy Representative

Physicians Rx Pharmacy of Clinton
Chris Wakefield, Manager
(412) 357-5163

Signed By Date

7/12/2019