340B Drug Pricing Program Database


HERMITAGE PROFESS PHARMACY - information as of 4/25/2025 5:52:57 PM


HERMITAGE PROFESS PHARMACY

23649 DALLAS ST
P.O.BOX 370
HERMITAGE, MO 65668



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCHC24137-00Ozarks Resource GroupOCHC - Hermitage Medical CenterHRSA-Funded Health Center18614 Jackson St.
HermitageMO10/01/2013 7/10/2013 4:27 PM
DetailsDSH260195CITIZENS MEMORIAL HOSPITAL DISTRICT Disproportionate Share Hospital1500 NORTH OAKLAND
BOLIVARMO04/01/2022 4/1/2022 12:01 AM
DetailsSCH260195-00CITIZENS MEMORIAL HOSPITAL DISTRICT Sole Community Hospital1500 NORTH OAKLAND
BOLIVARMO11/01/202104/01/20224/1/2022 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  HERMITAGE PROFESS PHARMACY 23649 DALLAS ST P.O.BOX 370 HERMITAGE, MO 656688/20/2018 4:20 PM
AddressesPharmacy AddressInsert  HERMITAGE PROFESS PHARMACY 106 JACKSON STREET P.O.BOX 370 HERMITAGE, MO 656689/29/2017 6:44 AM
AddressesPharmacy AddressUpdate HERMITAGE PROFESS PHARMACY 106 JACKSON STREET HERMITAGE, MO 65668HERMITAGE PROFESS PHARMACY 106 JACKSON STREET P.O.BOX 370 HERMITAGE, MO 656685/20/2013 9:59 AM
AddressesPharmacy AddressUpdate HERMITAGE PROFESS PHARMACY HWY 254 AND DALLAS ST HERMITAGE, MO 65668HERMITAGE PROFESS PHARMACY 106 JACKSON STREET HERMITAGE, MO 656685/20/2013 9:59 AM
DetailsCommentsUpdate   3/28/2013 4:22 PM
AddressesPharmacy AddressUpdate HERMITAGE PROFESS PHARMACY HWY 254 AND DALLAS ST P.O.BOX 370 HERMITAGE, MO 65668HERMITAGE PROFESS PHARMACY HWY 254 AND DALLAS ST HERMITAGE, MO 656683/28/2013 4:22 PM
AddressesPharmacy AddressUpdate Hermitage Professional Pharmacy Hwy 254 and Dallas St Hermitage, MO 65668HERMITAGE PROFESS PHARMACY HWY 254 AND DALLAS ST P.O.BOX 370 HERMITAGE, MO 656682/1/2013 4:08 PM
DetailsNameUpdate Hermitage Professional PharmacyHERMITAGE PROFESS PHARMACY2/1/2013 4:08 PM
AddressesPharmacy AddressUpdate Hermitage Professional Pharmacy Hwy 254 & Dallas St Hermitage, MO 65668Hermitage Professional Pharmacy Hwy 254 and Dallas St Hermitage, MO 656688/22/2012 5:45 PM
DetailsCommentsInsert   6/20/2012 12:59 PM