340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDCART SPECIALTY PHARMACY
DSH140181 SOUTH SHORE HOSPITAL CORPORATION
Print
Covered Entity Details
Entity Name
SOUTH SHORE HOSPITAL CORPORATION
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140181
Entity Address
8012 SOUTH CRANDON AVENUE
CHICAGO, IL 60617-1175
Medicare Provider Number
140181
Participating Start Date
4/1/2022
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
MEDCART SPECIALTY PHARMACY
Pharmacy Address
32131 INDUSTRIAL RD.
LIVONIA, MI 48150
Pharmacy Comments
Contract Details
Approval Date
10/4/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/23/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Leslie M. Rogers, CEO
(773) 356-5200
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
10/4/2022
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