340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PANTHERX SPECIALTY PHARMACY
RWII29601 AID Upstate
Print
Covered Entity Details
Entity Name
AID Upstate
Subdivision Name
Type
Ryan White Part B
340B ID
RWII29601
Entity Address
811 Pendleton St, Suite 10 & 11
Greenville, SC 29601
Grant Number
X07HA00038
Participating Start Date
10/1/2009
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
PANTHERX SPECIALTY PHARMACY
Pharmacy Address
24 SUMMIT PARK DR STE 101
PITTSBURGH, PA 15275-1104
Pharmacy Comments
Contract Details
Approval Date
7/14/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/8/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Roshan McDaniel, SC ADAP Director
(803) 898-0703
Contract Pharmacy Representative
Timothy Davis, President and Chief Operating Officer
(416) 246-9858
Signed By Date
7/14/2014
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