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SINKS PHARMACY
CHC26564-03 SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
Subdivision Name
Four Rivers Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26564-03
Entity Address
1081 E 18th St
Rolla, MO 65401
Grant Number
H80CS26564
Participating Start Date
1/1/2017
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
SINKS PHARMACY
Pharmacy Address
1204 E HIGHWAY 32
SALEM, MO 65560-2844
Pharmacy Comments
Contract Details
Approval Date
10/6/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Stuart Gipson, CEO
(573) 426-6714
Contract Pharmacy Representative
Medley/Sinks
Janel Flora, Pharmacy Supervisor
(573) 885-0885 Ext: 1023
Signed By Date
10/6/2021
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