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SCOTLAND COUNTY PHARMACY
CAH261310-00 SCOTLAND COUNTY HOSPITAL
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Covered Entity Details
Entity Name
SCOTLAND COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261310-00
Entity Address
450 EAST SIGLER AVENUE
MEMPHIS, MO 63555
Medicare Provider Number
261310
Participating Start Date
4/1/2011
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
SCOTLAND COUNTY PHARMACY
Pharmacy Address
445 E GRAND AVE
MEMPHIS, MO 63555-1518
Pharmacy Comments
Contract Details
Approval Date
10/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
RANDALL TOBLER, CEO
(660) 465-8511 Ext: 1100
Contract Pharmacy Representative
Scotland County Pharmacy
Matt McKee, Owner
(660) 465-2400
Signed By Date
10/15/2019
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