340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SINKS PHARMACY
CAH261318-00 SALEM MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
SALEM MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261318-00
Entity Address
35629 HIGHWAY 72
SALEM, MO 65560-0774
Medicare Provider Number
261318
Participating Start Date
1/1/2011
Last Recertification Date
8/28/2024
Pharmacy Details
Pharmacy Name
SINKS PHARMACY
Pharmacy Address
1204 E HIGHWAY 32
SALEM, MO 65560-2844
Pharmacy Comments
Contract Details
Approval Date
7/1/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/31/2022
Ownership change
Contacts
Covered Entity Signing Official
KASEY LUCAS, ADMINISTRATOR/CEO
(573) 729-5917 Ext: 4000
Contract Pharmacy Representative
Medley Pharmacy, Inc.
Sandy Mitchell, President
(573) 259-2910
Signed By Date
7/1/2021
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