340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BUFFALO PRESCRIPTION SHOP
CAH531308-00 JOHNSON COUNTY HEALTHCARE
Print
Covered Entity Details
Entity Name
JOHNSON COUNTY HEALTHCARE
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH531308-00
Entity Address
497 W LOTT St
BUFFALO, WY 82834
Medicare Provider Number
531308
Participating Start Date
7/1/2018
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
BUFFALO PRESCRIPTION SHOP
Pharmacy Address
431 FORT ST
BUFFALO, WY 82834
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nicole Ann Hobbs, CEO
(307) 684-6188
Contract Pharmacy Representative
Prescription Shop
Tom Maertens, Owner/Pharmacist
(307) 684-7003
Signed By Date
4/16/2018
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