340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HUDSON DRUG SHOP
CHC29834-05 PROMISE HEALTHCARE
Print
Covered Entity Details
Entity Name
PROMISE HEALTHCARE
Subdivision Name
Promise Healthcare - Kirby
Type
HRSA-Funded Health Center
340B ID
CHC29834-05
Entity Address
919 West Kirby Avenue
Champaign, IL 61821-5121
Grant Number
H80CS29834
Participating Start Date
7/1/2024
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HUDSON DRUG SHOP
Pharmacy Address
108 N MARKET ST
PO BOX 70
PAXTON, IL 60957-1220
Pharmacy Comments
Contract Details
Approval Date
10/10/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jennifer Henry, Promise Healthcare Executive Director
(217) 403-5401
Contract Pharmacy Representative
Hudson Drug Shop
Andy Hudson, President
(217) 379-4858
Signed By Date
10/10/2024
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