340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PRAGUE PHARMACY
CAH371301-00 PRAGUE REGIONAL MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
PRAGUE REGIONAL MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH371301-00
Entity Address
1322 KLABZUBA AVENUE
PRAGUE, OK 74864
Medicare Provider Number
371301
Participating Start Date
7/1/2021
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
PRAGUE PHARMACY
Pharmacy Address
SHEFFIELD'S PRAGUE PHARMACY
1020 W MAIN ST
PRAGUE, OK 74864-4501
Pharmacy Comments
Contract Details
Approval Date
4/13/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kristen Winchester, Administrator
(405) 567-4922 Ext: 2228
Contract Pharmacy Representative
Prague Pharmacy
Joshua Sheffield, owner
(405) 567-4322
Signed By Date
4/13/2022
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