340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ASCENSION RX 1001
RRC230117-00 ASCENSION BORGESS HOSPITAL
Print
Covered Entity Details
Entity Name
ASCENSION BORGESS HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC230117-00
Entity Address
1521 GULL ROAD
KALAMAZOO, MI 49048
Medicare Provider Number
230117
Participating Start Date
1/1/2024
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
ASCENSION RX 1001
Pharmacy Address
ASCENSION PHARMACY SERVICES, LLC.
7701 METROPOLIS DR STE 200B
AUSTIN, TX 78744-3125
Pharmacy Comments
Contract Details
Approval Date
1/5/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael McCullough, CFO
(586) 753-0653
Contract Pharmacy Representative
Ascension Pharmacy Services, LLC
Lynn Eschenbacher, Chief Pharmacy Officer
(314) 884-0593
Signed By Date
1/5/2024
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