340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COUNTY MARKET PHARMACY 228
CHC24098-18 SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Print
Covered Entity Details
Entity Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Subdivision Name
SIU Center for Healthy Aging and Wellness
Type
HRSA-Funded Health Center
340B ID
CHC24098-18
Entity Address
319 E. Madison St. STE 1F
Springfield, IL 62701-3118
Grant Number
H80CS24098
Participating Start Date
7/1/2023
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
COUNTY MARKET PHARMACY 228
Pharmacy Address
NIEMANN FOODS INC
1903 W MONROE ST
SPRINGFIELD, IL 62704
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Iris Elenora Wesley, CEO
(217) 757-8116
Contract Pharmacy Representative
SIU Center for Family Medicine
Michael Black, CFO
(217) 747-6470
Signed By Date
7/15/2024
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