340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PRICE CHOPPER PHARMACY #319
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
PRICE CHOPPER PHARMACY #319
Pharmacy Address
COSENTINO ENTERPRISES INC
15700 N US HIGHWAY 169 STE E
SMITHVILLE, MO 64089
Pharmacy Comments
Contract Details
Approval Date
7/15/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
John P. Wilson, Chief Financial Officer
(816) 271-6611
Contract Pharmacy Representative
Cosentino Group
Frank Wolff, Director of Pharmacy
(913) 749-1511
Signed By Date
7/15/2015
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