340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BANDY'S PHARMACY INC
CAH141345-00 Salem Township Hospital
Print
Covered Entity Details
Entity Name
Salem Township Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141345-00
Entity Address
1201 Ricker Drive
Salem, IL 62881
Medicare Provider Number
141345
Participating Start Date
4/1/2013
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
BANDY'S PHARMACY INC
Pharmacy Address
1413 W WHITTAKER ST
PO BOX 546
SALEM, IL 62881-2015
Pharmacy Comments
Contract Details
Approval Date
10/18/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stephanie Hilton-Siebert, President/CEO
(618) 548-3194 Ext: 8257
Contract Pharmacy Representative
Bandy's
Eric Bandy, CFO
(618) 548-4000
Signed By Date
10/18/2013
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