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SINKS PHARMACY
CAH261318-00 SALEM MEMORIAL HOSPITAL
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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
Pharmacy Comments
Contract Details
Approval Date
10/10/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Wayne Reid, CEO
(573) 729-5917 Ext: 4000
Contract Pharmacy Representative
Medley Rx Inc.
Amy Mitchell, Vice President
(573) 437-3440
Signed By Date
10/10/2022
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