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SUMMERS PHARMACY
CAH261301-00 ELLETT MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
ELLETT MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261301-00
Entity Address
610 NORTH OHIO AVENUE
Appleton City, MO 64724
Medicare Provider Number
261301
Participating Start Date
7/1/2016
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
SUMMERS PHARMACY
Pharmacy Address
605 PAWNEE ST
CLINTON, MO 64735
Pharmacy Comments
Contract Details
Approval Date
1/17/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/21/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Laura Ninette Smith, CEO
(660) 476-5211
Contract Pharmacy Representative
Summers Pharmacy
Mike Sperry, Director of Pharmacy
(660) 885-3034
Signed By Date
1/17/2020
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