340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ATKINS EXPRESS PHARMACY
SCH450219-00 Baylor Scott & White Medical Center - Llano
Print
Covered Entity Details
Entity Name
Baylor Scott & White Medical Center - Llano
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH450219-00
Entity Address
200 W. Ollie St.
Llano, TX 78643
Medicare Provider Number
450219
Participating Start Date
10/1/2013
Last Recertification Date
9/6/2016
Entity Termination Date
4/1/2017
Pharmacy Details
Pharmacy Name
ATKINS EXPRESS PHARMACY
Pharmacy Address
ATKINS EXPRESS PHARMACY
2607 N US HIGHWAY 281
MARBLE FALLS, TX 78654-3807
Pharmacy Comments
Contract Details
Approval Date
4/7/2015
Contract Begin Date
7/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2017
Contacts
Covered Entity Signing Official
Bramer Owens, COO
(830) 201-7353
Contract Pharmacy Representative
Kevin Atkins, Owner
(830) 693-2972
Signed By Date
4/7/2015
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