340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
UNIVERSITY MEDICAL CENTER
HV00536 University of Louisville Research Foundation/Wings Clinic
Print
Covered Entity Details
Entity Name
University of Louisville Research Foundation/Wings Clinic
Subdivision Name
Type
Ryan White Part C
340B ID
HV00536
Entity Address
550 South Jackson Street
550 Clinic, ACB 2nd Floor
Louisville, KY 40202
Grant Number
H76HA00536
Participating Start Date
1/1/2012
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
UNIVERSITY MEDICAL CENTER
Pharmacy Address
UNIVERSITY OF LOUISVILLE HOSP
AMBULATORY CARE PHARMACY
530 SOUTH JACKSON STREET
LOUISVILLE, KY 40202
Pharmacy Comments
Contract Details
Approval Date
10/6/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bailey Bolten, Clinical Pharmacist
(502) 852-7668
Contract Pharmacy Representative
UofL Health
Robert Michael Fink, System Director
(502) 217-5095
Signed By Date
10/6/2023
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