340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARMON'S DRUG STORE, INC
CAH141343-00 CRAWFORD HOSPITAL DISTRICT D/B/A CRAWFORD MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
CRAWFORD HOSPITAL DISTRICT D/B/A CRAWFORD MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141343-00
Entity Address
1000 N. ALLEN STREET
ROBINSON, IL 62454
Medicare Provider Number
141343
Participating Start Date
1/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
HARMON'S DRUG STORE, INC
Pharmacy Address
101 N MAIN ST
PALESTINE, IL 62451
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MITZI MARTIN, BOARD VICE CHAIR
(618) 544-3131 Ext: 5123
Contract Pharmacy Representative
Harmon's Drug Stores, Inc.
Brad Harmon, Owner
(618) 592-4231
Signed By Date
1/14/2020
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