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STERLING HEALTHCARE SERVICES
CH07137A SOUTHEAST MISSOURI HEALTH NETWORK
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Covered Entity Details
Entity Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
Sikeston Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH07137A
Entity Address
200 Southland Dr
Sikeston, MO 63801-4403
Grant Number
H80CS00557
Participating Start Date
1/1/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
STERLING HEALTHCARE SERVICES
Pharmacy Address
808 HUNTER AVE STE 1
PO BOX 886
SIKESTON, MO 63801-2253
Pharmacy Comments
Contract Details
Approval Date
10/26/2010
Contract Begin Date
10/26/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHRIS JONES, CIO
(573) 748-2592
Contract Pharmacy Representative
JIM DONOVAN, MANAGER
(573) 472-0608
Signed By Date
9/27/2010
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