340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
YOUR HOMETOWN PHARMACY
CAH451376-00 LAVACA MEDICAL CENTER
Print
Covered Entity Details
Entity Name
LAVACA MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451376-00
Entity Address
1400 N TEXANA
HALLETTSVILLE, TX 77964-2021
Medicare Provider Number
451376
Participating Start Date
9/30/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
YOUR HOMETOWN PHARMACY
Pharmacy Address
HALLETTSVILLE PHARMACY LLC
304 N. TEXANA ST.
HALLETTSVILLE, TX 77964
Pharmacy Comments
Contract Details
Approval Date
1/16/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JAMES VANEK, ADMINISTRATOR
(361) 798-3671 Ext: 1207
Contract Pharmacy Representative
Columbus Pharmacy
Paula Grahmann, Owner
(361) 798-5010
Signed By Date
1/16/2015
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