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MUSTANG DRUG INC
CH074490 OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
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Covered Entity Details
Entity Name
OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
Subdivision Name
ACCESS Family Care Administration
Type
HRSA-Funded Health Center
340B ID
CH074490
Entity Address
475 Nelson Ave.
Neosho, MO 64850-9120
Grant Number
H80CS00673
Participating Start Date
1/1/2005
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MUSTANG DRUG INC
Pharmacy Address
704C SOUTH 59 HIGHWAY
P.O.BOX 418
ANDERSON, MO 64831
Pharmacy Comments
Contract Details
Approval Date
8/3/2005
Contract Begin Date
8/3/2005
Carve-In Effective Date
Contract Comments
ITEMS SHIPPED TO PHARMACY MUST HAVE PO BOX INCLUDED
Contract Termination Date
Termination Reason
11/18/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/29/2005
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