340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OWEN'S PHARMACY J-841
DSH150091 HUNTINGTON MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
HUNTINGTON MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150091
Entity Address
2001 STULTS ROAD
HUNTINGTON, IN 46750
Medicare Provider Number
150091
Participating Start Date
7/1/2022
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
OWEN'S PHARMACY J-841
Pharmacy Address
2718 GUILFORD ST
HUNTINGTON, IN 46750
Pharmacy Comments
Contract Details
Approval Date
11/18/2011
Contract Begin Date
11/18/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2015
Contacts
Covered Entity Signing Official
Michael P. Browning, Senior Vice President and Chief Financial Officer
(260) 373-8407
Contract Pharmacy Representative
Kroger
Mike Puccini, New Business Development Manager
(513) 762-4672
Signed By Date
11/2/2011
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