340B Drug Pricing Program Database

Pharmacy Name

LEOMINSTER FAMILY PHARMACY, INC.

Pharmacy Address

843 CENTRAL ST
LEOMINSTER, MA 01453

Pharmacy Comments

Approval Date

7/8/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/8/2016
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Deborah Weymouth, President, CEO
(978) 466-2190

Contract Pharmacy Representative

Matt Moen, VP Clinical Services
(508) 755-4173

Signed By Date

7/8/2015