340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ACRO PHARMACEUTICAL SERVICES LLC
CAH141318-00 OSF Holy Family Medical Center
Print
Covered Entity Details
Entity Name
OSF Holy Family Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141318-00
Entity Address
1000 West Harlem Ave
Monmouth, IL 61462
Medicare Provider Number
141318
Participating Start Date
1/1/2013
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
ACRO PHARMACEUTICAL SERVICES LLC
Pharmacy Address
ACRO PHARMACEUTICAL SERVICES LLC
313 HENDERSON DR
SHARON HILL, PA 19079
Pharmacy Comments
Contract Details
Approval Date
10/13/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/10/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Diane Marie McGrew, President
(309) 655-2850
Contract Pharmacy Representative
Commcare Pharmacy
Avani Patel, Client Relations Manager
(954) 284-2358
Signed By Date
10/13/2016
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