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SINKS PHARMACY SELECT LLC
CHC26564-03 SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Subdivision Name
Four Rivers Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26564-03
Entity Address
1081 E 18th St
Rolla, MO 65401
Grant Number
H80CS26564
Participating Start Date
1/1/2017
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
SINKS PHARMACY SELECT LLC
Pharmacy Address
1024 S BISHOP AVE
ROLLA, MO 65401-4416
Pharmacy Comments
Contract Details
Approval Date
1/9/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sean Lelen Harris, Chief Operations Officer
(573) 426-6721
Contract Pharmacy Representative
Medley/Sinks
Janel Flora, Pharmacy Supervisor
(573) 885-0885 Ext: 1023
Signed By Date
1/9/2020
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