340B Drug Pricing Program Database

Pharmacy Name

PHYSICIAN'S RX PHARMACY, LLC

Pharmacy Address

PHYSICIANS RX PHARMACY, LLC
9701 APOLLO DRIVE
#400
LARGO, MD 20774

Pharmacy Comments

Approval Date

4/2/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2020
Covered Entity Terminated

Covered Entity Signing Official

Dedra Spears Johnson, Executive Director
(301) 772-0103

Contract Pharmacy Representative

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

Signed By Date

4/2/2020