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Tim Mitchel Medical, Inc. dba Country Care Pharmacy
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
Tim Mitchel Medical, Inc. dba Country Care Pharmacy
Pharmacy Address
1504 N. Business 71 Hwy
Neosho, MO 64850
Pharmacy Comments
Contract Details
Approval Date
4/26/2012
Contract Begin Date
4/26/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/18/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Don McBride, CEO
(417) 451-9450 Ext: 212
Contract Pharmacy Representative
Tim Mitchell, Owner
(417) 451-9501
Signed By Date
4/23/2012
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