340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
KIMMEL CHAPLAIN PHARMACY LTD
CAH141321-00 Franklin Hospital District
Print
Covered Entity Details
Entity Name
Franklin Hospital District
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141321-00
Entity Address
201 Bailey Lane
Benton, IL 62812-1999
Medicare Provider Number
141321
Participating Start Date
1/1/2013
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
KIMMEL CHAPLAIN PHARMACY LTD
Pharmacy Address
205 BAILEY LANE
BENTON, IL 62812
Pharmacy Comments
Contract Details
Approval Date
1/6/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rikki S. Bonthron, CFO
(618) 439-3161 Ext: 9601
Contract Pharmacy Representative
Julie Giacone, Registered Pharmacist
(618) 438-2822
Signed By Date
1/6/2015
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