340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WILLIAMS BROS HEALTH CARE PHARMACY
FQHCLA402 Good Samaritan Family Health Center Inc.
Print
Covered Entity Details
Entity Name
Good Samaritan Family Health Center Inc.
Subdivision Name
Family Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA402
Entity Address
1027 Washington Avenue
Suite B
Vincennes, IN 47591
Grant Number
LALCS33817
Participating Start Date
1/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WILLIAMS BROS HEALTH CARE PHARMACY
Pharmacy Address
10 W. MAIN ST
AUSTIN, IN 47102-1304
Pharmacy Comments
Contract Details
Approval Date
10/1/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/2/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jennifer Emmons, CEO
(812) 494-7800
Contract Pharmacy Representative
Williams Bothers Health Care Pharmacy,Inc
JD Faulkner, Regional Pharmacy Manager
(812) 887-6945
Signed By Date
10/1/2024
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