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MEDICAL ARTS PHARMACY
DSH260113 MISSOURI DELTA MEDICAL CENTER
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Covered Entity Details
Entity Name
MISSOURI DELTA MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260113
Entity Address
1008 NORTH MAIN
SIKESTON, MO 63801
Medicare Provider Number
260113
Participating Start Date
7/1/2006
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
MEDICAL ARTS PHARMACY
Pharmacy Address
808 E WAKEFIELD AVE
SIKESTON, MO 63801-5147
Pharmacy Comments
04/25/2012 changed zip (was 63834)
Contract Details
Approval Date
4/3/2012
Contract Begin Date
4/3/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/26/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
JASON SCHRUMPF, CEO
(573) 472-7600
Contract Pharmacy Representative
Medical Arts Pharmacy
Richard Logan, Pharmacist/Owner
(573) 683-3307
Signed By Date
3/23/2012
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