340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
THE MEDICINE SHOPPE PHARMACY
DSH180048 EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.
Print
Covered Entity Details
Entity Name
EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER, INC.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH180048
Entity Address
217 SOUTH THIRD STREET
DANVILLE, KY 40422
Medicare Provider Number
180048
Participating Start Date
10/1/2004
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE PHARMACY
Pharmacy Address
DBA/TERRADISE PROPERTIES, INC
900 HUSTONVILLE RD
DANVILLE, KY 40422
Pharmacy Comments
Contract Details
Approval Date
10/21/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
William M. SNAPP III, CFO
(859) 239-2424
Contract Pharmacy Representative
Doug Coyle, Pharmacy Owner
(859) 238-0002
Signed By Date
10/21/2016
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