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VAN BUREN DRUG
CH07043E Big Springs Medical Association, Inc
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Covered Entity Details
Entity Name
Big Springs Medical Association, Inc
Subdivision Name
Missouri Highlands Dental - Ellington
Type
HRSA-Funded Health Center
340B ID
CH07043E
Entity Address
115 WALNUT STREET
ELLINGTON, MO 63638-0157
Grant Number
H80CS00703
Participating Start Date
4/1/2006
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
VAN BUREN DRUG
Pharmacy Address
BARNES PHARMACY INC
406 MAIN ST
PO BOX 361
VAN BUREN, MO 63965-0361
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
Van Buren Drug
Rita Barnes, Owner
(573) 323-8159
Signed By Date
10/12/2023
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