340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SAM'S PHARMACY
CH04580D GOSHEN MEDICAL CENTER, INC.
Print
Covered Entity Details
Entity Name
GOSHEN MEDICAL CENTER, INC.
Subdivision Name
GOSHEN MEDICAL CENTER - WARSAW
Type
HRSA-Funded Health Center
340B ID
CH04580D
Entity Address
603 E. COLLEGE ST
WARSAW, NC 28398-2104
Grant Number
H80CS00181
Participating Start Date
1/1/2025
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
SAM'S PHARMACY
Pharmacy Address
P.O. BOX 1086
110 S. SYCAMORE ST
ROSE HILL, NC 28458
Pharmacy Comments
Contract Details
Approval Date
10/1/2004
Contract Begin Date
10/1/2004
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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