340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
APOTHECARY PHARMACY
SCH260006-00 HEARTLAND REGIONAL MEDICAL CENTER
Print
Covered Entity Details
Entity Name
HEARTLAND REGIONAL MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH260006-00
Entity Address
5325 FARAON
ST. JOSEPH, MO 64506-3398
Medicare Provider Number
260006
Participating Start Date
10/1/2020
Last Recertification Date
8/30/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
APOTHECARY PHARMACY
Pharmacy Address
1517 SAINT JOSEPH AVENUE
SAINT JOSEPH, MO 64505
Pharmacy Comments
03/13/2012 updated zip (was 64504)
Contract Details
Approval Date
8/9/2011
Contract Begin Date
8/9/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/11/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Doug Brandt, Asst Treasurer
(816) 271-7070
Contract Pharmacy Representative
Stevenson Family Pharmacy
David Stevenson, Owner & President
(816) 238-2424
Signed By Date
7/27/2011
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