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SUMMERS PHARMACY #13, INC
CH071496J Regional Health Care Clinic, Inc.
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Covered Entity Details
Entity Name
Regional Health Care Clinic, Inc.
Subdivision Name
Katy Trail Community Health East
Type
HRSA-Funded Health Center
340B ID
CH071496J
Entity Address
305 W Main St
Sedalia, MO 65301-3821
Grant Number
H80CS06668
Participating Start Date
7/1/2022
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
SUMMERS PHARMACY #13, INC
Pharmacy Address
1020 THOMPSON BLVD STE 100
SEDALIA, MO 65301
Pharmacy Comments
Contract Details
Approval Date
1/15/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Waller, CEO
(208) 800-8676
Contract Pharmacy Representative
Summers
Ryan Summers, President
(417) 326-7455
Signed By Date
1/15/2024
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