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DIPLOMAT SPECIALTY INFUSION GROUP
DSH260141 University of Missouri Health Care
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Covered Entity Details
Entity Name
University of Missouri Health Care
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260141
Entity Address
One Hospital Drive
Columbia, MO 65212
Medicare Provider Number
260141
Participating Start Date
12/1/1992
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
DIPLOMAT SPECIALTY INFUSION GROUP
Pharmacy Address
ACCURATE RX PHARMACY CONSULTING, LLC
103 CORPORATE LAKE DR STE B
COLUMBIA, MO 65203-7290
Pharmacy Comments
Contract Details
Approval Date
4/16/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/5/2022
Ownership change
Contacts
Covered Entity Signing Official
Jonathan Curtright, CEO
(573) 884-8738
Contract Pharmacy Representative
Optum
Nancy McCutcheon, SR VP of Strategic Sales
(651) 983-0677
Signed By Date
4/16/2021
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