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BEAUTON DRUG
CH07137K SOUTHEAST MISSOURI HEALTH NETWORK
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Covered Entity Details
Entity Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
New Madrid Medical Center
Type
HRSA-Funded Health Center
340B ID
CH07137K
Entity Address
421 SEMO Dr.
New Madrid, MO 63869-1733
Grant Number
H80CS00557
Participating Start Date
1/1/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
BEAUTON DRUG
Pharmacy Address
124 N WASHINGTON ST
EAST PRAIRIE, MO 63845-1140
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
Beauton Drug
Susan Marshall, President
(573) 649-3923
Signed By Date
10/13/2023
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