340B Drug Pricing Program Database

Pharmacy Name

MIDWEST FAMILY HEALTH OF RUSSELL, LLC

Pharmacy Address

208 S FOSSIL ST
RUSSELL, KS 67665-3021

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