340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ALTRUIX
DSH390113 Meadville Medical Center
Print
Covered Entity Details
Entity Name
Meadville Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH390113
Entity Address
751 Liberty Street
Meadville, PA 16335
Medicare Provider Number
390113
Participating Start Date
7/1/2013
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
ALTRUIX
Pharmacy Address
3800 HORIZON BLVD STE 103
TREVOSE, PA 19053
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ellie Jo Amory, 340B Program Administrator
(814) 333-5669
Contract Pharmacy Representative
Altruix
Michael Metry, PIC
(800) 927-6703
Signed By Date
1/15/2024
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