340B Drug Pricing Program Database

Pharmacy Name

KOHAL PHARMACY 2

Pharmacy Address

740 MCKINLEY AVENUE #B
KELLOGG, ID 83837-2693

Pharmacy Comments

Approval Date

10/23/2014

Contract Begin Date

1/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/8/2023
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official


Contract Pharmacy Representative

Monica Kohal, Owner
(208) 786-9303

Signed By Date