340B Drug Pricing Program Database

Pharmacy Name

ESTILL CLINIC PHARMACY

Pharmacy Address

275 COURT ST
IRVINE, KY 40336

Pharmacy Comments

Approval Date

3/13/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Della Deerfield, CFO
(606) 726-2169

Contract Pharmacy Representative

John Spencer, Owner
(606) 723-5446

Signed By Date

1/29/2013