340B Drug Pricing Program Database

Pharmacy Name

SUNFLOWER DISCOUNT PHARMACY

Pharmacy Address

840 NORTH OAK
RULEVILLE, MS 38771

Pharmacy Comments

Approval Date

3/14/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

9/30/2015
Pharmacy closed

Covered Entity Signing Official

BILLY MARLOW, CEO
(662) 721-7370

Contract Pharmacy Representative

North Sunflower Medical Center
Mike Gilbow, Pharmacy Director
(662) 756-4381

Signed By Date

1/25/2013