340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MIDTOWN MEDICENTER PHARMACY
FQHCLA393A Neighborhood Health Center, INC
Print
Covered Entity Details
Entity Name
Neighborhood Health Center, INC
Subdivision Name
Neighborhood Health Center - Union County Medical Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA393A
Entity Address
950 N Market St
Liberty, IN 47353-8496
Grant Number
LALCS32717
Participating Start Date
4/1/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
MIDTOWN MEDICENTER PHARMACY
Pharmacy Address
11 S 9TH ST
RICHMOND, IN 47374-5503
Pharmacy Comments
Contract Details
Approval Date
1/16/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/2/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
Carrie N Miles, CEO
(765) 965-4299
Contract Pharmacy Representative
EDS MEDICENTER PHARMACY
Steve Sommer, Manager Contracting & Channel Management
(618) 826-2511
Signed By Date
1/13/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session