340B Drug Pricing Program Database

Pharmacy Name

HOUCHENS NORTH FOODS LLC

Pharmacy Address

DBA HOMETOWN EXPRESS PHARMACY
1325 W. 9TH ST.
MT CARMEL, IL 62863

Pharmacy Comments

Approval Date

2/1/2012

Contract Begin Date

2/1/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/10/2017
Pharmacy closed

Covered Entity Signing Official

Stephen Douglas McGill, CFO
(618) 263-6305

Contract Pharmacy Representative

Leslie Bidwell, Pharmacy Operations Coordinator
(812) 661-8684

Signed By Date

1/25/2012