340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ERLANGER PHARMACIES, INC.
DSH440104C Erlanger Health
Print
Covered Entity Details
Entity Name
Erlanger Health
Subdivision Name
PACC Ambulatory Surgery
Type
Disproportionate Share Hospital
340B ID
DSH440104C
Entity Address
975 East Third Street
Chattanooga, TN 37403
Medicare Provider Number
440104
Outpatient Facility Provider Number
Participating Start Date
4/1/2013
Last Recertification Date
9/6/2024
Pharmacy Details
Pharmacy Name
ERLANGER PHARMACIES, INC.
Pharmacy Address
DBA ERLANGER PHARMACY
7380 VOLKSWAGEN DRIVE
SUITE 190
CHATTANOOGA, TN 37416
Pharmacy Comments
Contract Details
Approval Date
4/15/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/15/2015
Pharmacy closed
Contacts
Covered Entity Signing Official
BRITTON J. TABOR, CFO
(423) 778-7729
Contract Pharmacy Representative
Donna Bourdon, President
(423) 386-1017
Signed By Date
4/15/2013
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