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MEDICENTER PHARMACY 2220
CH07137M SOUTHEAST MISSOURI HEALTH NETWORK
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Covered Entity Details
Entity Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
Benton Medical Center
Type
HRSA-Funded Health Center
340B ID
CH07137M
Entity Address
6724 Hwy 77E
Benton, MO 63736
Grant Number
H80CS00557
Participating Start Date
4/1/2013
Last Recertification Date
2/24/2025
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
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHRIS JONES, CEO
(573) 313-2501
Contract Pharmacy Representative
Kirdwood Pharmacy Group
Casey Duncan, Operations Manager
(573) 576-6562
Signed By Date
10/13/2023
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