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HILS PHARMACY
TB652706 RANDOLPH COUNTY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
RANDOLPH COUNTY HEALTH DEPARTMENT
Subdivision Name
Type
Tuberculosis
340B ID
TB652706
Entity Address
1319 E. HWY 24
SUITE A
MOBERLY, MO 65270
Grant Number
6NU52PS004711-03-01
Participating Start Date
7/1/1999
Last Recertification Date
5/13/2024
Pharmacy Details
Pharmacy Name
HILS PHARMACY
Pharmacy Address
HILS, LLC
800 N MORLEY ST
MOBERLY, MO 65270
Pharmacy Comments
Contract Details
Approval Date
1/5/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra Laird, ADMINISTRATOR
(660) 263-6643 Ext: 219
Contract Pharmacy Representative
Hils Pharmacy
Ann Hils, Owner
(660) 263-4457
Signed By Date
1/5/2017
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