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LAURIE FAMILY PHARMACY
CHC00132-00 RICHLAND MEDICAL CENTER INC
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Covered Entity Details
Entity Name
RICHLAND MEDICAL CENTER INC
Subdivision Name
Central Ozarks Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC00132-00
Entity Address
304 W Washington Ave
Richland, MO 65556-7101
Grant Number
H80CS00132
Participating Start Date
4/1/2016
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
LAURIE FAMILY PHARMACY
Pharmacy Address
409 N MAIN ST
GRAVOIS MILLS, MO 65037
Pharmacy Comments
Contract Details
Approval Date
7/14/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/19/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Kelly Miller, CEO
(573) 836-7071
Contract Pharmacy Representative
Laurie Family Pharmacy
Sharon Hagan, AO
(573) 207-0805
Signed By Date
7/14/2022
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