Contract Pharmacy Details

6 TURTLES, LLC
CHC26564-03 SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

Covered Entity Details

Entity Name

SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER

Subdivision Name

Four Rivers Community Health Center

Type

HRSA-Funded Health Center

340B ID

CHC26564-03

Entity Address

1081 E 18th St
Rolla, MO 65401

Grant Number

H80CS26564

Participating Start Date

1/1/2017

Last Recertification Date

2/21/2025

Pharmacy Details

Pharmacy Name

6 TURTLES, LLC

Pharmacy Address

6 TURTLES, LLC
MEDICAL CENTER PHARMACY
1000 SUITE B N. JEFFERSON
SAINT JAMES, MO 65559

Pharmacy Comments

Contract Details

Approval Date

4/11/2023

Contract Begin Date

7/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

8/22/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Stuart Hunter Gipson, CEO
(417) 576-7273

Contract Pharmacy Representative

Four Rivers Community Health Center
Angela M Brooks, Director of Pharmacy Services
(573) 545-5934

Signed By Date

4/11/2023

340B Drug Pricing Program Database