340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICATE PHARMACY
HV05332V SIHF Healthcare
Print
Covered Entity Details
Entity Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - Central Alton
Type
Ryan White Part C
340B ID
HV05332V
Entity Address
2615 Edwards St
Suite 171
Alton, IL 62002
Grant Number
H76HA00579
Participating Start Date
10/1/2015
Last Recertification Date
2/22/2025
Pharmacy Details
Pharmacy Name
MEDICATE PHARMACY
Pharmacy Address
2166 MADISON AVE
GRANITE CITY, IL 62040
Pharmacy Comments
Contract Details
Approval Date
10/5/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/12/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Larry McCulley, President
(618) 332-0694 Ext: 155
Contract Pharmacy Representative
Michael Schaltenbrand, Owner
(618) 709-7520
Signed By Date
10/5/2015
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