Contract Pharmacy Details

AMAZON PHARMACY #001
CHC26567-00 MERIDIAN SERVICES CORP

Covered Entity Details

Entity Name

MERIDIAN SERVICES CORP

Subdivision Name

Meridian Health Services

Type

HRSA-Funded Health Center

340B ID

CHC26567-00

Entity Address

240 N Tillotson Ave
Muncie, IN 47304-3988

Grant Number

H80CS26567

Participating Start Date

4/1/2016

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

AMAZON PHARMACY #001

Pharmacy Address

4500 S PLEASANT VALLEY RD STE 201
AUSTIN, TX 78744-2911

Pharmacy Comments

Contract Details

Approval Date

10/14/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Scott Riggs, Chief Financial Officer
(765) 254-5189

Contract Pharmacy Representative

PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725

Signed By Date

10/14/2019

340B Drug Pricing Program Database