340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCOTT'S QUITMAN PHARMACY, LLC
CAH451380-00 East Texas Medical Center Quitman
Print
Covered Entity Details
Entity Name
East Texas Medical Center Quitman
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH451380-00
Entity Address
117 N. Winnsboro Street
Quitman, TX 75783
Medicare Provider Number
451380
Participating Start Date
4/1/2013
Last Recertification Date
11/7/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
SCOTT'S QUITMAN PHARMACY, LLC
Pharmacy Address
DBA: SCOTT'S QUITMAN PHARMACY
310 E GOODE ST
QUITMAN, TX 75783
Pharmacy Comments
Contract Details
Approval Date
10/15/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Warren J. Robicheaux, Sr. Administrator
(903) 946-5501
Contract Pharmacy Representative
Scott Parton, Owner
(903) 342-3669
Signed By Date
10/15/2014
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