340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PHYSICIAN'S PARK PHARMACY
CH070430 Big Springs Medical Association, Inc
Print
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
PHYSICIAN'S PARK PHARMACY
Pharmacy Address
225 PHYSICIANS PARK STE 100
POPLAR BLUFF, MO 63901-3918
Pharmacy Comments
Contract Details
Approval Date
10/15/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/29/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Karen R White, CEO
(573) 663-2313 Ext: 3965
Contract Pharmacy Representative
Jim Donovan, Owner
(573) 778-9238
Signed By Date
10/15/2014
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