340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHARMAX PHARMACY #1343
CH078000 GREAT MINES HEALTH CENTER
Print
Covered Entity Details
Entity Name
GREAT MINES HEALTH CENTER
Subdivision Name
Great Mines Health Center
Type
HRSA-Funded Health Center
340B ID
CH078000
Entity Address
#1 Southtowne Dr.
Potosi, MO 63664
Grant Number
H80CS06670
Participating Start Date
4/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PHARMAX PHARMACY #1343
Pharmacy Address
INTEGRITY INC.
113 SAINT FRANCOIS PLZ
LEADINGTON, MO 63601
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Gregory Roeback, Chief Executive Officer
(573) 438-8380
Contract Pharmacy Representative
Pharmax Partners
MIchael McIntosh, Vice President
(314) 270-9576
Signed By Date
1/15/2025
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