340B Drug Pricing Program Database

Pharmacy Name

PORTER PHARMACY INC

Pharmacy Address

308 WEST LARISSA
JACKSONVILLE, TX 75766

Pharmacy Comments

Approval Date

10/20/2011

Contract Begin Date

7/6/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/5/2018
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official


Contract Pharmacy Representative

Signed By Date

6/15/2011