340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SIKESTON PHARMACY LLC
CH071370 SOUTHEAST MISSOURI HEALTH NETWORK
Print
Covered Entity Details
Entity Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
SOUTHEAST MISSOURI HEALTH NETWORK
Type
HRSA-Funded Health Center
340B ID
CH071370
Entity Address
420 SEMO DR
NEW MADRID, MO 63869-1734
Grant Number
H80CS00557
Participating Start Date
1/1/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
SIKESTON PHARMACY LLC
Pharmacy Address
SIKESTON MEDICENTER PHARMACY
507 N MAIN ST.
SIKESTON, MO 63801-2105
Pharmacy Comments
Contract Details
Approval Date
7/6/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHRIS JONES, CEO
(573) 313-2501
Contract Pharmacy Representative
Casey Crawford, Owner
(573) 471-4401
Signed By Date
7/6/2016
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