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MISSOURI CVS PHARMACY, L.L.C.
SCH260094-00 COX MEDICAL CENTER BRANSON
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Covered Entity Details
Entity Name
COX MEDICAL CENTER BRANSON
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH260094-00
Entity Address
525 Branson Landing Blvd
Branson, MO 65616
Medicare Provider Number
260094
Participating Start Date
7/1/2022
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10003
105 LOYD ST.
BRANSON, MO 65616
Pharmacy Comments
Contract Details
Approval Date
1/20/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
DAVID Lee STRONG, CFO
(417) 335-7188
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/20/2020
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