340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MAXWELL PHARMACY, INC.
DSH140015 BLESSING HOSPITAL
Print
Covered Entity Details
Entity Name
BLESSING HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140015
Entity Address
1005 BROADWAY
QUINCY, IL 62301
Medicare Provider Number
140015
Participating Start Date
4/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
MAXWELL PHARMACY, INC.
Pharmacy Address
200 S 9TH ST
HANNIBAL, MO 63401-4203
Pharmacy Comments
Contract Details
Approval Date
1/27/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Pat Gerveler, Executive Vice President/Chief Financial Officer
(217) 223-8400 Ext: 6814
Contract Pharmacy Representative
Maxwell Pharmacy, Inc.
Matt Maxwell, PIC
(573) 822-5800
Signed By Date
1/7/2025
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