340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HY-VEE CLINIC PHARMACY #1036
CAH261312-00 HARRISON COUNTY COMMUNITY HOSPITAL
Print
Covered Entity Details
Entity Name
HARRISON COUNTY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261312-00
Entity Address
2600 MILLER STREET
BETHANY, MO 64424
Medicare Provider Number
261312
Participating Start Date
9/28/2010
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
HY-VEE CLINIC PHARMACY #1036
Pharmacy Address
710 W MAIN
PRINCETON, MO 64673
Pharmacy Comments
Pharmacy at 1104 South 25th Street Bethany MO has the same name.
Contract Details
Approval Date
1/16/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Christina Gillespie, CEO
(660) 425-2211 Ext: 2250
Contract Pharmacy Representative
Hy-Vee
Marshall Sanders, Assisant Vice President, Pharmacy Services
(515) 953-7950
Signed By Date
1/16/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session