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SIKESTON PHARMACY LLC
CH07137A SOUTHEAST MISSOURI HEALTH NETWORK
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Covered Entity Details
Entity Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
Sikeston Medical Clinic
Type
HRSA-Funded Health Center
340B ID
CH07137A
Entity Address
200 Southland Dr
Sikeston, MO 63801-4403
Grant Number
H80CS00557
Participating Start Date
1/1/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
SIKESTON PHARMACY LLC
Pharmacy Address
SIKESTON MEDICENTER PHARMACY
507 N MAIN ST.
SIKESTON, MO 63801-2105
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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