340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PENDLETON PHARMACIST GROUP INC
DSH180079 HARRISON MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
HARRISON MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180079
Entity Address
1210 KY HIGHWAY 36 E
CYNTHIANA, KY 41031
Medicare Provider Number
180079
Participating Start Date
9/9/2005
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
PENDLETON PHARMACIST GROUP INC
Pharmacy Address
DBA TOTAL CARE PHARMACY #5
45 KLEE WAY STE A
FALMOUTH, KY 41040
Pharmacy Comments
Contract Details
Approval Date
7/4/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephen Toadvine, Chief Executive Officer
(859) 235-3503
Contract Pharmacy Representative
Total Care Pharmacy
Heather Fronk, Corporate Partner
(859) 654-3232
Signed By Date
7/4/2022
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