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BROWN'S PHARMACY INC
CH070430 Big Springs Medical Association, Inc
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Covered Entity Details
Entity Name
Big Springs Medical Association, Inc
Subdivision Name
MISSOURI HIGHLANDS HEALTH CARE
Type
HRSA-Funded Health Center
340B ID
CH070430
Entity Address
110 SOUTH SECOND STREET
ELLINGTON, MO 63638-0157
Grant Number
H80CS00703
Participating Start Date
1/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
BROWN'S PHARMACY INC
Pharmacy Address
BROWN'S PHARMACY
375 TRIMMER LN
ELLINGTON, MO 63638-7972
Pharmacy Comments
5/5/10 - UPDATED ADD, PHARMACY MOVED (WAS ROUTE 4, BOX 4278, ELLINGTON, MO)
Contract Details
Approval Date
10/14/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/16/2023
Ownership change
Contacts
Covered Entity Signing Official
Karen R White, CEO
(573) 663-2313 Ext: 3965
Contract Pharmacy Representative
Leigh Anne Brown
Leigh Anne Brown, Pharmacy Manager
(573) 663-7707
Signed By Date
10/14/2019
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