340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MYERS MEDICAL PHARMACY
CAH051310-00 Willits Hospital Inc., DBA Adventist Health Howard Memorial
Print
Covered Entity Details
Entity Name
Willits Hospital Inc., DBA Adventist Health Howard Memorial
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH051310-00
Entity Address
One Marcela Drive
Willits, CA 95490-5769
Medicare Provider Number
051310
Participating Start Date
10/1/2011
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
MYERS MEDICAL PHARMACY
Pharmacy Address
260 HOSPITAL DR STE 111
UKIAH, CA 95482-4568
Pharmacy Comments
Contract Details
Approval Date
8/30/2012
Contract Begin Date
8/30/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/21/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CARLTON Edward JACOBSON, CHIEF FINANCIAL OFFICER
(707) 456-3001
Contract Pharmacy Representative
Tim Keffeler, Owner
(707) 468-8991
Signed By Date
7/31/2012
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