340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CONTRACT PHARMACY SERVICES
STD967201 Department of Corrections and Rehabilitation, State of Hawaii
Print
Covered Entity Details
Entity Name
Department of Corrections and Rehabilitation, State of Hawaii
Subdivision Name
Kulani Correctional Facility
Type
Sexually Transmitted Diseases
340B ID
STD967201
Entity Address
HC 01 Stainback Highway
Hilo, HI 96720
Grant Number
NU51PS005155-01-01
Participating Start Date
1/1/2024
Last Recertification Date
6/3/2024
Pharmacy Details
Pharmacy Name
CONTRACT PHARMACY SERVICES
Pharmacy Address
125 TITUS AVE
WARRINGTON, PA 18976-2424
Pharmacy Comments
Contract Details
Approval Date
4/8/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Ownership change
Contacts
Covered Entity Signing Official
Romey J Glidewell, APRN, CHCA
(808) 587-1252
Contract Pharmacy Representative
CONTRACT PHARMACY SERVICES
Douglas Albers, EVP - Strategy & Payer Relations
(816) 935-5513
Signed By Date
4/8/2024
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