Contract Pharmacy Details

UNION DRUGS
CH042850 RURAL HEALTH MEDICAL PROGRAM, INC.

Covered Entity Details

Entity Name

RURAL HEALTH MEDICAL PROGRAM, INC.

Subdivision Name

Rural Health Medical Program, Inc.-Selma Health Center & Administrative Office

Type

HRSA-Funded Health Center

340B ID

CH042850

Entity Address

101 PARK PLACE
SELMA, AL 36701

Grant Number

H80CS00794

Participating Start Date

1/1/2003

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

UNION DRUGS

Pharmacy Address

A DIVISION OF BROWN DRUG CO INC
P.O. BOX 1220
117 WATER ST
UNIONTOWN, AL 36786-1220

Pharmacy Comments

Contract Details

Approval Date

10/15/2020

Contract Begin Date

1/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2021
Agreement registered in error

Contacts

Covered Entity Signing Official

KESHEE Danee DOZIER-SMITH, CEO
(334) 874-7428 Ext: 121

Contract Pharmacy Representative

Union Drugs
Tim Gibbs, Owner
(334) 872-3255

Signed By Date

10/15/2020

340B Drug Pricing Program Database