340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOMETOWN PHARMACY
SCH450090-00 NORTH TEXAS MEDICAL CENTER
Print
Covered Entity Details
Entity Name
NORTH TEXAS MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450090-00
Entity Address
1900 HOSPITAL BOULEVARD
GAINSVILLE, TX 76240
Medicare Provider Number
450090
Participating Start Date
4/1/2023
Last Recertification Date
Entity Termination Date
10/1/2023
Pharmacy Details
Pharmacy Name
HOMETOWN PHARMACY
Pharmacy Address
1201 OLIVE STREET
GAINESVILLE, TX 76240
Pharmacy Comments
Contract Details
Approval Date
10/8/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Randy Bacus, CEO
(940) 665-1751
Contract Pharmacy Representative
Brookshire Grocery
John Stogner, CFO
(903) 893-0677
Signed By Date
10/8/2013
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