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LEXI'S MEDICINE, INC
CH07043C Big Springs Medical Association, Inc
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Covered Entity Details
Entity Name
Big Springs Medical Association, Inc
Subdivision Name
Missouri Highlands Health Care - Eminence
Type
HRSA-Funded Health Center
340B ID
CH07043C
Entity Address
17959 Main Street
Eminence, MO 65466
Grant Number
H80CS00703
Participating Start Date
1/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
LEXI'S MEDICINE, INC
Pharmacy Address
8499 ASH AVE
WINONA, MO 65588
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen R White, CEO
(573) 663-2313 Ext: 3965
Contract Pharmacy Representative
Lexi's Medicine, Inc.
Mika Lindsey, Pharmacist
(573) 325-4241
Signed By Date
10/12/2023
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