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SWEET SPRINGS INC
CAH261332-00 Carroll County Memorial Hospital
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Covered Entity Details
Entity Name
Carroll County Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261332-00
Entity Address
1502 N Jefferson
Carrollton, MO 64633
Medicare Provider Number
261332
Participating Start Date
4/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
SWEET SPRINGS INC
Pharmacy Address
MARCELINE FAMILY PHARMACY
1509 N MISSOURI AVE
MARCELINE, MO 64658
Pharmacy Comments
Contract Details
Approval Date
7/26/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tim Braun, Chief Operating Officer
(660) 542-1695 Ext: 3067
Contract Pharmacy Representative
Marceline Family Pharmacy
Kelly J Malloy, Pharmacist in Charge
(660) 376-2700
Signed By Date
7/26/2021
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