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EVERCARE PHARMACY
CAH261306-00 SULLIVAN COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
SULLIVAN COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261306-00
Entity Address
630 WEST THIRD STREET
MILAN, MO 63556
Medicare Provider Number
261306
Participating Start Date
10/1/2015
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
EVERCARE PHARMACY
Pharmacy Address
21748 US HIGHWAY 65
PRINCETON, MO 64673
Pharmacy Comments
Contract Details
Approval Date
1/10/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Martha Gragg, CEO
(660) 265-4212 Ext: 610
Contract Pharmacy Representative
Medley/Sinks
Janel Flora, Pharmacy Supervisor
(573) 885-0885 Ext: 1023
Signed By Date
1/10/2025
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