340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICAL CENTER PHARMACY
CH07043N Big Springs Medical Association, Inc
Print
Covered Entity Details
Entity Name
Big Springs Medical Association, Inc
Subdivision Name
Missouri Highlands Health Care - Naylor
Type
HRSA-Funded Health Center
340B ID
CH07043N
Entity Address
220 E. Broad Street
Naylor, MO 63953-0204
Grant Number
H80CS00703
Participating Start Date
4/1/2006
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
MEDICAL CENTER PHARMACY
Pharmacy Address
PREMIERE HEALTHCARE LLC
513 N GRAND AVE
DONIPHAN, MO 63935-6393
Pharmacy Comments
01/17/2013 DEA normalization (addres line was 513-B N. GRAND AVE.)
Contract Details
Approval Date
4/27/2011
Contract Begin Date
4/27/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/23/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/15/2011
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session