340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
JEFF'S PRESCRIPTION SHOP
RRC180012-00 BAPTIST HEALTH HARDIN
Print
Covered Entity Details
Entity Name
BAPTIST HEALTH HARDIN
Subdivision Name
Type
Rural Referral Center
340B ID
RRC180012-00
Entity Address
913 NORTH DIXIE AVENUE
ELIZABETHTOWN, KY 42701
Medicare Provider Number
180012
Participating Start Date
1/1/2025
Last Recertification Date
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
JEFF'S PRESCRIPTION SHOP
Pharmacy Address
2415 RING ROAD
ELIZABETHTOWN, KY 42701
Pharmacy Comments
Contract Details
Approval Date
7/15/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Contacts
Covered Entity Signing Official
Dennis Johnson, CEO
(270) 706-1006
Contract Pharmacy Representative
LJB Inc.
Charles Bradley Mills, Owner/Pharmacist
(270) 765-2157
Signed By Date
7/15/2016
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