340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
JOHN C LINCOLN HOSPITAL INC
DSH030014 HONORHEALTH JOHN C. LINCOLN MED CTR
Print
Covered Entity Details
Entity Name
HONORHEALTH JOHN C. LINCOLN MED CTR
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH030014
Entity Address
250 E Dunlap Ave
Phoenix, AZ 85020
Medicare Provider Number
030014
Participating Start Date
7/1/2015
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
JOHN C LINCOLN HOSPITAL INC
Pharmacy Address
HONORHEALTH JOHN C LINCOLN MEDICAL CENTE
250 E DUNLAP AVE
ATTN: PHARMACY
PHOENIX, AZ 85020-2825
Pharmacy Comments
Contract Details
Approval Date
2/4/2016
Contract Begin Date
4/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/14/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
Maggi Griffin, CEO
(602) 331-5862
Contract Pharmacy Representative
HonorHealth
Susan Moravec, AVP, Chief of Phamacy
(480) 882-5941
Signed By Date
2/4/2016
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