340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AMAZON PHARMACY #009
CH03044AD Primary Care Health Services Inc
Print
Covered Entity Details
Entity Name
Primary Care Health Services Inc
Subdivision Name
PRIMARY CARE HEALTH SERVICES, INC. Alma Illery Medical Center
Type
HRSA-Funded Health Center
340B ID
CH03044AD
Entity Address
7227 Hamilton Ave
Pittsburgh, PA 15208
Grant Number
H80CS00714
Participating Start Date
1/2/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
AMAZON PHARMACY #009
Pharmacy Address
7469 KINGSPOINTE PKWY STE 400
ORLANDO, FL 32819
Pharmacy Comments
Contract Details
Approval Date
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
jerome gloster, CEO
(412) 244-4700 Ext: 4980
Contract Pharmacy Representative
AMAZON PHARMACY
JOHN M LAVIN, MANAGING OFFICER
(602) 793-8552
Signed By Date
7/11/2024
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