340B Drug Pricing Program Database

Pharmacy Name

CUSTER PHARMACY

Pharmacy Address

241 SOUTH MAIN STREET
CADIZ, OH 43907

Pharmacy Comments

Approval Date

10/20/2011

Contract Begin Date

9/21/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/15/2018
Ownership change

Covered Entity Signing Official

Terry Carson, CEO
(740) 942-6226

Contract Pharmacy Representative

Harrison Community Hospital
Jason Backel, Owner
(740) 942-2726

Signed By Date

9/14/2011