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SINKS PHARMACY
SCH260186-00 Lake Regional Health System
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Covered Entity Details
Entity Name
Lake Regional Health System
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH260186-00
Entity Address
54 HOSPITAL DR
Osage Beach, MO 65065-3050
Medicare Provider Number
260186
Participating Start Date
1/1/2017
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
SINKS PHARMACY
Pharmacy Address
2322 HIGHWAY 17
IBERIA, MO 65486
Pharmacy Comments
Contract Details
Approval Date
1/14/2025
Contract Begin Date
1/17/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paula Littleton, CFO
(573) 348-8388
Contract Pharmacy Representative
Medley Pharmacy, Inc.
Sandy Mitchell, President
(573) 259-2910
Signed By Date
1/14/2025
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