340B Drug Pricing Program Database


COUNTRYSIDE PHARMACY - information as of 6/9/2025 11:25:12 PM


COUNTRYSIDE PHARMACY

402 E PRICE AVE
P.O. BOX 147
SAVANNAH, MO 64485-1742



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH261340-00Mosaic Medical Center Maryville Critical Access Hospital2016 S. Main
MaryvilleMO04/01/2025 4/1/2025 12:01 AM
DetailsCH072130NORTHWEST HEALTH SERVICES, INC.FAMILY MEDICINE ASSOCIATESHRSA-Funded Health Center2303 Village Dr
Saint JosephMO07/27/201103/21/20253/25/2025 11:46 AM
DetailsDSH260006HEARTLAND REGIONAL MEDICAL CENTER Disproportionate Share Hospital5325 FARAON
ST. JOSEPHMO07/01/202010/01/202010/1/2020 12:01 AM
DetailsDSH260006HEARTLAND REGIONAL MEDICAL CENTER Disproportionate Share Hospital5325 FARAON
ST. JOSEPHMO01/01/2024 1/1/2024 12:01 AM
DetailsSCH260006-00HEARTLAND REGIONAL MEDICAL CENTER Sole Community Hospital5325 FARAON
ST. JOSEPHMO07/06/201107/01/20207/1/2020 12:01 AM
DetailsSCH260006-00HEARTLAND REGIONAL MEDICAL CENTER Sole Community Hospital5325 FARAON
ST. JOSEPHMO10/01/202001/01/20241/1/2024 12:01 AM
DetailsSCH260050-00Mosaic Medical Center Maryville Sole Community Hospital2016 S. Main
MaryvilleMO07/01/201904/01/20254/1/2025 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  COUNTRYSIDE PHARMACY 402 E PRICE AVE P.O. BOX 147 SAVANNAH, MO 64485-17428/2/2019 7:38 AM
AddressesPharmacy AddressInsert  COUNTRYSIDE PHARMACY 402 EAST PRICE P.O. BOX 147 SAVANNAH, MO 644859/29/2017 6:44 AM
AddressesPharmacy AddressUpdate COUNTRYSIDE PHARMACY 402 EAST PRICE SAVANNAH, MO 64485COUNTRYSIDE PHARMACY 402 EAST PRICE P.O. BOX 147 SAVANNAH, MO 644853/28/2013 4:22 PM
AddressesPharmacy AddressUpdate Countryside Pharmacy 402 EAST PRICE AVE SAVANNAH, MO 64485COUNTRYSIDE PHARMACY 402 EAST PRICE SAVANNAH, MO 644853/28/2013 4:22 PM
DetailsNameUpdate Countryside PharmacyCOUNTRYSIDE PHARMACY3/28/2013 4:22 PM
DetailsCommentsInsert   7/6/2011 3:24 PM
DetailsIs DeletedInsert  False7/6/2011 3:24 PM
AddressesPharmacy AddressInsert  Countryside Pharmacy 402 EAST PRICE AVE SAVANNAH, MO 644857/6/2011 3:24 PM
DetailsNameInsert  Countryside Pharmacy7/6/2011 3:24 PM