340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICATE CENTRAL PHARMACY
HV05332F SIHF Healthcare
Print
Covered Entity Details
Entity Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - Alton
Type
Ryan White Part C
340B ID
HV05332F
Entity Address
4 Memorial Drive
Building B, Suite210
Alton, IL 62002
Grant Number
H76HA00579
Participating Start Date
7/1/2005
Last Recertification Date
2/22/2025
Pharmacy Details
Pharmacy Name
MEDICATE CENTRAL PHARMACY
Pharmacy Address
1833 KINGSHIGHWAY
SUITE 100
WASHINGTON PARK, IL 62204-2135
Pharmacy Comments
Contract Details
Approval Date
7/15/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/12/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry McCulley, President
(618) 332-0694 Ext: 155
Contract Pharmacy Representative
Signed By Date
7/15/2015
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