340B Drug Pricing Program Database

Pharmacy Name

THE PRESCRIPTION SHOP

Pharmacy Address

143 N CRAIG ST
KENEDY, TX 78119

Pharmacy Comments

Approval Date

10/20/2011

Contract Begin Date

9/6/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2016

Covered Entity Signing Official

Nathan Tudor, CEO
(830) 583-3401

Contract Pharmacy Representative

Nicholas Millington, Owner
(830) 583-9652

Signed By Date

8/29/2011