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KB KIRKSVILLE PHARMACY LLC
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
KB KIRKSVILLE PHARMACY LLC
Pharmacy Address
1611 S BALTIMORE ST STE B
KIRKSVILLE, MO 63501-4536
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/5/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
RANDALL TOBLER, CEO
(660) 465-8511 Ext: 1100
Contract Pharmacy Representative
Evans Drugs
Kevin McCullough, Owner
(417) 276-3128
Signed By Date
4/14/2020
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