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PHYSICIANS PARK PHARMACY
CH07043M Big Springs Medical Association, Inc
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Covered Entity Details
Entity Name
Big Springs Medical Association, Inc
Subdivision Name
Missouri Highlands Dental - Poplar Bluff
Type
HRSA-Funded Health Center
340B ID
CH07043M
Entity Address
1407 N. Westwood Blvd
Poplar Bluff, MO 63901
Grant Number
H80CS00703
Participating Start Date
4/1/2006
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
PHYSICIANS PARK PHARMACY
Pharmacy Address
PHYSICIANS PARK INVESTMENT
225 PHYSICIAN'S PARK DR.
SUITE 100A
POPLAR BLUFF, MO 63901-3934
Pharmacy Comments
Contract Details
Approval Date
7/30/2009
Contract Begin Date
7/30/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
SHERILYN CLARK, EXECUTIVE DIRECTOR
(573) 663-2313
Contract Pharmacy Representative
Jim Donovan, Owner
(573) 778-9238
Signed By Date
7/24/2009
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