340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COUNTY MARKET PHARMACY 228
CHC24098-09 SOUTHERN ILLINOIS UNIVERSITY
Print
Covered Entity Details
Entity Name
SOUTHERN ILLINOIS UNIVERSITY
Subdivision Name
SIU Center for Family Medicine-Transitions of Western Illinois
Type
HRSA-Funded Health Center
340B ID
CHC24098-09
Entity Address
4409 Maine St, Suite 100
Quincy, IL 62305
Grant Number
H80CS24098
Participating Start Date
7/1/2018
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
1/14/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Iris Elenora Wesley, CEO
(217) 757-8116
Contract Pharmacy Representative
Neiman Foods County Market
Art Awerkamp, Director of Pharmacy
(217) 221-5615
Signed By Date
1/14/2025
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