340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SOLDOTNA PROFESSIONAL PHARMACY
SCH020024-00 CENTRAL PENINSULA HOSPITAL
Print
Covered Entity Details
Entity Name
CENTRAL PENINSULA HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH020024-00
Entity Address
250 HOSPITAL PLACE
SOLDOTNA, AK 99669
Medicare Provider Number
020024
Participating Start Date
4/1/2017
Last Recertification Date
9/5/2024
Pharmacy Details
Pharmacy Name
SOLDOTNA PROFESSIONAL PHARMACY
Pharmacy Address
299 N BINKLEY ST
SOLDOTNA, AK 99669-7523
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shaun Patrick Keef, Chief Executive Officer
(907) 714-4719
Contract Pharmacy Representative
Central Peninsula Hospital
PHIL SANDERS, 340b Coordinator
(907) 714-4795
Signed By Date
10/15/2020
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