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Kilgore's Medical Pharmacy
STD65201 Spectrum Health Care
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Covered Entity Details
Entity Name
Spectrum Health Care
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD65201
Entity Address
1123 Wilkes Blvd. Suite 110
Columbia, MO 65201-4774
Grant Number
NH25PS005142
Participating Start Date
4/1/2020
Last Recertification Date
5/19/2025
Pharmacy Details
Pharmacy Name
Kilgore's Medical Pharmacy
Pharmacy Address
26 Business Loop 70 E
Columbia, MO 65203
Pharmacy Comments
Undeleted per OPA instructions on 05/24/2013. Deleted per OPA instructions on 4/18/13.
Contract Details
Approval Date
4/14/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Agreement registered in error
Contacts
Covered Entity Signing Official
Cale C Mitchell, Executive Director
(573) 875-8687 Ext: 261
Contract Pharmacy Representative
KILGORE'S MEDICAL PHARMACY
WILLIAM MORRISSEY, PRESIDENT
(573) 442-0194
Signed By Date
4/14/2021
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