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LANCASTER DRUGS LLC
CH070300 NORTHEAST MISSOURI HEALTH COUNCIL, INC.
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Covered Entity Details
Entity Name
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
Subdivision Name
Northeast Missouri Health Council, Inc.
Type
HRSA-Funded Health Center
340B ID
CH070300
Entity Address
1416 Crown Drive
Kirksville, MO 63501
Grant Number
H80CS00731
Participating Start Date
7/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LANCASTER DRUGS LLC
Pharmacy Address
LANCASTER DRUGS
100 N GREEN ST STE A
LANCASTER, MO 63548-1111
Pharmacy Comments
Contract Details
Approval Date
7/5/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ANDREW GRIMM, EXECUTIVE DIRECTOR
(660) 627-5757
Contract Pharmacy Representative
Benzer Pharmacy
Ryan Geoghagen, 340B Solutions Manager
(813) 304-2221 Ext: 122
Signed By Date
7/5/2018
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