340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DOC'S DRUGS OF FAIRBURY
SCH140161-00 Saint James Hospital
Print
Covered Entity Details
Entity Name
Saint James Hospital
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH140161-00
Entity Address
2500 W. Reynolds Street
Pontiac, IL 61764
Medicare Provider Number
140161
Participating Start Date
1/1/2013
Last Recertification Date
8/16/2016
Entity Termination Date
4/1/2017
Pharmacy Details
Pharmacy Name
DOC'S DRUGS OF FAIRBURY
Pharmacy Address
902 E. OAK
FAIRBURY, IL 61739
Pharmacy Comments
Contract Details
Approval Date
4/11/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Contacts
Covered Entity Signing Official
Diane Marie McGrew, President
(309) 655-2850
Contract Pharmacy Representative
Anthony Sartoris, President
(815) 458-6401 Ext: 12
Signed By Date
4/11/2013
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