340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MEDICENTER PHARMACY 2220
CH07402C CROSS TRAILS MEDICAL CENTER
Print
Covered Entity Details
Entity Name
CROSS TRAILS MEDICAL CENTER
Subdivision Name
Cross Trails Medical Center
Type
HRSA-Funded Health Center
340B ID
CH07402C
Entity Address
1314 Brenda Ave
Perryville, MO 63775-2303
Grant Number
H80CS00211
Participating Start Date
10/1/2014
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
MEDICENTER PHARMACY 2220
Pharmacy Address
CAPE PHARMACY LLC
2220 MAIN ST
SCOTT CITY, MO 63780
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ron Camp, CEO
(573) 339-1196
Contract Pharmacy Representative
Kirdwood Pharmacy Group
Casey Duncan, Operations Manager
(573) 576-6562
Signed By Date
10/11/2023
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