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BURTON CREEK PHARMACY
DSH260078 Ozarks Medical Center DBA Ozarks Healthcare
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Covered Entity Details
Entity Name
Ozarks Medical Center DBA Ozarks Healthcare
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260078
Entity Address
1100 KENTUCKY AVENUE
WEST PLAINS, MO 65775-1100
Medicare Provider Number
260078
Participating Start Date
1/1/2005
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
BURTON CREEK PHARMACY
Pharmacy Address
GANT PHARMACY SERVICES INC
805 KENTUCKY, SUITE 2
WEST PLAINS, MO 65775
Pharmacy Comments
Contract Details
Approval Date
3/28/2011
Contract Begin Date
3/28/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/3/2019
Ownership change
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
3/25/2011
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