340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PICH KTM CORP
STD32505 OVERFLOW HEALTH ALLIANCE INC
Print
Covered Entity Details
Entity Name
OVERFLOW HEALTH ALLIANCE INC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD32505
Entity Address
3101 north davis hwy
pensacola, FL 32503
Grant Number
1nh25ps005131-01-00
Participating Start Date
1/1/2023
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
PICH KTM CORP
Pharmacy Address
DBA MEDTOWN PHARMACY
11643 BEACH BLVD
UNIT A
JACKSONVILLE, FL 32246
Pharmacy Comments
Contract Details
Approval Date
12/22/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joshua Hardin-Givens, Executive Director
(904) 468-7944
Contract Pharmacy Representative
Medtown Pharmacy
Nakry Oeur, Owner
(904) 551-5870
Signed By Date
12/22/2022
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