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PARKLAND PHARMACY DEVELOPMENT LLC
CH070430 Big Springs Medical Association, Inc
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Covered Entity Details
Entity Name
Big Springs Medical Association, Inc
Subdivision Name
MISSOURI HIGHLANDS HEALTH CARE
Type
HRSA-Funded Health Center
340B ID
CH070430
Entity Address
110 SOUTH SECOND STREET
ELLINGTON, MO 63638-0157
Grant Number
H80CS00703
Participating Start Date
1/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
PARKLAND PHARMACY DEVELOPMENT LLC
Pharmacy Address
DBA PARKLAND PHARMACY
1500 N HIGHWAY 21
IRONTON, MO 63650
Pharmacy Comments
Contract Details
Approval Date
1/15/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SHERILYN CLARK, EXECUTIVE DIRECTOR
(573) 663-2313
Contract Pharmacy Representative
PARKLAND HEALTH MART PHARMACY
Lisa Umfleet, Owner
(573) 546-6000
Signed By Date
1/15/2014
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