340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
P.I.C.
DSH180018 ST CLAIRE MEDICAL CENTER INC
Print
Covered Entity Details
Entity Name
ST CLAIRE MEDICAL CENTER INC
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180018
Entity Address
222 MEDICAL CIRCLE
MOREHEAD, KY 40351
Medicare Provider Number
180018
Participating Start Date
1/1/2005
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
P.I.C.
Pharmacy Address
DBA FAMILY DISCOUNT DRUGS
60 SLATE AVENUE
PO BOX 1119
OWINGSVILLE, KY 40360-4036
Pharmacy Comments
Contract Details
Approval Date
1/23/2012
Contract Begin Date
2/1/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
G.R. JONES, VP FINANCIAL SERVICES/CFO
(606) 783-6508
Contract Pharmacy Representative
Melodie T. Hawkins, President & Owner
(606) 674-6979
Signed By Date
2/1/2012
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