340B Drug Pricing Program Database

Pharmacy Name

MIDWEST FAMILY HEALTH

Pharmacy Address

300 STATE ST
PHILLIPSBURG, KS 67661-1930

Pharmacy Comments

Approval Date

4/15/2014

Contract Begin Date

7/1/2014

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Reginald Harold Courtois, Chief Executive Officer
(785) 483-0706

Contract Pharmacy Representative

Robert Wenzl, Owner
(785) 543-5131

Signed By Date

4/8/2014