340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MICHAEL'S PRESCRIPTION CORNER
CAH321305-00 NOR-LEA GENERAL HOSPITAL
Print
Covered Entity Details
Entity Name
NOR-LEA GENERAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH321305-00
Entity Address
1600 N. MAIN AVE
LOVINGTON, NM 88260
Medicare Provider Number
321305
Participating Start Date
9/24/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
MICHAEL'S PRESCRIPTION CORNER
Pharmacy Address
123 W AVENUE A
LOVINGTON, NM 88260-4211
Pharmacy Comments
Contract Details
Approval Date
8/20/2012
Contract Begin Date
8/20/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Shaw, CEO
(575) 396-6611 Ext: 1102
Contract Pharmacy Representative
Michael Raburn, Owner
(575) 394-2311
Signed By Date
8/2/2012
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