340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICENTER PHARMACY CARTERVILLE
CH050040 SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORPORATION
Print
Covered Entity Details
Entity Name
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORPORATION
Subdivision Name
SHAWNEE HEALTH SERVICE AND DEVELOPMENT C
Type
HRSA-Funded Health Center
340B ID
CH050040
Entity Address
109 California St
Carterville, IL 62918-1923
Grant Number
H80CS00667
Participating Start Date
7/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MEDICENTER PHARMACY CARTERVILLE
Pharmacy Address
1205 S DIVISION ST
CARTERVILLE, IL 62918
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
Christina G Carney, Chief Executive Officer
(618) 985-8221
Contract Pharmacy Representative
Medicine Shoppe #1633
Eric Schreiber, Owner
(417) 866-3054
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