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YORK & CO PHARMACY
CHC00132-00 RICHLAND MEDICAL CENTER INC
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Covered Entity Details
Entity Name
RICHLAND MEDICAL CENTER INC
Subdivision Name
Central Ozarks Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC00132-00
Entity Address
304 W Washington Ave
Richland, MO 65556-7101
Grant Number
H80CS00132
Participating Start Date
4/1/2016
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
YORK & CO PHARMACY
Pharmacy Address
JONK, LLC
609 W WASHINGTON AVE
RICHLAND, MO 65556
Pharmacy Comments
Contract Details
Approval Date
1/12/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Stiles, CEO
(573) 765-5131 Ext: 320
Contract Pharmacy Representative
York & Co. Pharmacy
Kyle York, Pharmacist
(573) 765-3321
Signed By Date
1/12/2019
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