340B Drug Pricing Program Database

Pharmacy Name

MEDICENTER PHARMACY DUQUOIN

Pharmacy Address

TOWN & COUNTRY PHARMACIES, INC.
204 S WASHINGTON ST.
DU QUOIN, IL 62832-1805

Pharmacy Comments

Approval Date

10/6/2016

Contract Begin Date

1/1/2017

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Brice D. Harsy, Chief Financial Officer
(618) 542-1005

Contract Pharmacy Representative

Brad Galli, Owner
(618) 542-2575

Signed By Date

10/6/2016