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ALPS SPECIALTY PHARMACY
DSH260078 Ozarks Medical Center DBA Ozarks Healthcare
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Covered Entity Details
Entity Name
Ozarks Medical Center DBA Ozarks Healthcare
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260078
Entity Address
1100 KENTUCKY AVENUE
WEST PLAINS, MO 65775-1100
Medicare Provider Number
260078
Participating Start Date
1/1/2005
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
ALPS SPECIALTY PHARMACY
Pharmacy Address
105 S RIDGECREST AVE STE 3A
NIXA, MO 65714
Pharmacy Comments
Contract Details
Approval Date
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Timothy J Pollard, CFO
(417) 256-9111 Ext: 6031
Contract Pharmacy Representative
Alps SPecialty Pharmacy
Morgan Miller, Pharmacy PIC
(417) 719-4510
Signed By Date
7/11/2019
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