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STERLING PHARMACY
CH071370 SOUTHEAST MISSOURI HEALTH NETWORK
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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
STERLING PHARMACY
Pharmacy Address
808 HUNTER AVE STE 1A
PO BOX 886
SIKESTON, MO 63801-2253
Pharmacy Comments
Contract Details
Approval Date
2/8/2017
Contract Begin Date
2/8/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHRIS JONES, CEO
(573) 313-2501
Contract Pharmacy Representative
Lindsey Corlew, Pharmacy Manager
(573) 472-0608
Signed By Date
2/8/2017
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