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BROWN'S PHARMACY INC
CH07043E Big Springs Medical Association, Inc
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Covered Entity Details
Entity Name
Big Springs Medical Association, Inc
Subdivision Name
Missouri Highlands Dental - Ellington
Type
HRSA-Funded Health Center
340B ID
CH07043E
Entity Address
115 WALNUT STREET
ELLINGTON, MO 63638-0157
Grant Number
H80CS00703
Participating Start Date
4/1/2006
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
BROWN'S PHARMACY INC
Pharmacy Address
BROWN'S PHARMACY
375 TRIMMER LN
ELLINGTON, MO 63638-7972
Pharmacy Comments
5/5/10 - UPDATED ADD, PHARMACY MOVED (WAS ROUTE 4, BOX 4278, ELLINGTON, MO)
Contract Details
Approval Date
4/1/2006
Contract Begin Date
4/1/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/28/2006
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