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ALPS SPECIALTY PHARMACY
CAH261301-00 ELLETT MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
ELLETT MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261301-00
Entity Address
610 NORTH OHIO AVENUE
Appleton City, MO 64724
Medicare Provider Number
261301
Participating Start Date
7/1/2016
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
ALPS SPECIALTY PHARMACY
Pharmacy Address
105 S RIDGECREST AVE STE 3A
NIXA, MO 65714
Pharmacy Comments
Contract Details
Approval Date
10/6/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laura Ninette Smith, CEO
(660) 476-5211
Contract Pharmacy Representative
Alps Pharmacy
Don Savley, Managing Member
(417) 865-1547
Signed By Date
10/6/2020
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