340B Drug Pricing Program Database

Pharmacy Name

THE MEDICINE CABINET

Pharmacy Address

722 SHIRLEY AVE
DOUGLAS, GA 31533

Pharmacy Comments

Approval Date

11/4/2011

Contract Begin Date

11/10/2011

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Peggy Kirkland, Director of Pharmacy
(912) 383-5609

Contract Pharmacy Representative

The Medicine Cabinet of Douglas, LLC
Scott Meeks, Owner
(912) 383-8510

Signed By Date

11/3/2011