340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARTIG DRUG COMPANY
CAH141302-00 Midwest Medical Center
Print
Covered Entity Details
Entity Name
Midwest Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141302-00
Entity Address
One Medical Center Drive
Galena, IL 61036
Medicare Provider Number
141302
Participating Start Date
1/1/2014
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
HARTIG DRUG COMPANY
Pharmacy Address
DBA HARTIG DRUG CO 29
218 CHICAGO AVE
SAVANNA, IL 61074-1918
Pharmacy Comments
Contract Details
Approval Date
10/11/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tracy Bauer, CEO
(815) 776-7266
Contract Pharmacy Representative
Hartig Drug
Keith Bibelhausen, President
(563) 588-8700
Signed By Date
10/11/2016
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