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VAN BUREN DRUG
CH07043A 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 - Ellington
Type
HRSA-Funded Health Center
340B ID
CH07043A
Entity Address
61 St Highway Y Ste B
Ellington, MO 63638-7802
Grant Number
H80CS00703
Participating Start Date
1/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
VAN BUREN DRUG
Pharmacy Address
BARNES PHARMACY INC
406 MAIN ST
PO BOX 361
VAN BUREN, MO 63965-0361
Pharmacy Comments
Contract Details
Approval Date
4/5/2011
Contract Begin Date
4/5/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/29/2011
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