340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RED CROSS PHARMACY LLC
DSH260142E JOHN FITZGIBBON MEMORIAL HOSPITAL
Print
Covered Entity Details
Entity Name
JOHN FITZGIBBON MEMORIAL HOSPITAL
Subdivision Name
JOHN FITZGIBBON MEMORIAL HOSP INC - Mid-Missouri Family Health
Type
Disproportionate Share Hospital
340B ID
DSH260142E
Entity Address
2303 S HIGHWAY 65 STE A
MID MISSOURI FAMILY HEALTH AT FITZG
MARSHALL, MO 65340-3735
Medicare Provider Number
260142
Outpatient Facility Provider Number
268789
Participating Start Date
1/1/2024
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
RED CROSS PHARMACY LLC
Pharmacy Address
RED CROSS LTC PHARMACY
157 S JEFFERSON AVE
MARSHALL, MO 65340
Pharmacy Comments
Contract Details
Approval Date
11/2/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Angy P. Littrell, President & CEO
(660) 831-3251
Contract Pharmacy Representative
Red Cross Pharmacy
Scott Hartwig, CEO
(660) 886-5535
Signed By Date
10/5/2023
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