340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICINE SHOPPE #2171
CAH141324-00 Ferrell Hospital Community Foundation dba Ferrell Hospital
Print
Covered Entity Details
Entity Name
Ferrell Hospital Community Foundation dba Ferrell Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141324-00
Entity Address
1201 Pine Street
Eldorado, IL 62930
Medicare Provider Number
141324
Participating Start Date
4/1/2012
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
MEDICINE SHOPPE #2171
Pharmacy Address
PRN PHARMACIES, LTD
1101 US HIGHWAY 45 N
ELDORADO, IL 62930-3768
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
5/13/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Angela Marie Craig, Controller
(618) 273-3361 Ext: 157
Contract Pharmacy Representative
Medicine Shoppe
Brad Ledbetter, Vice President
(618) 252-5349
Signed By Date
4/15/2020
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