340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WILKINSON PHARMACY #5
DSH260061 NEVADA CITY HOSPITAL
Print
Covered Entity Details
Entity Name
NEVADA CITY HOSPITAL
Subdivision Name
DBA NEVADA REGIONAL MEDICAL CENTER
Type
Disproportionate Share Hospital
340B ID
DSH260061
Entity Address
800 SOUTH ASH STREET
NEVADA, MO 64772
Medicare Provider Number
260061
Participating Start Date
7/1/2009
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WILKINSON PHARMACY #5
Pharmacy Address
WILKINSON PHARMACY INC
200 EAST HIGHWAY 54
EL DORADO SPRINGS, MO 64744
Pharmacy Comments
Contract Details
Approval Date
1/15/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
Kevin Leeper, CEO
(417) 448-3626
Contract Pharmacy Representative
James Michael Beisner, President COO
(417) 876-3511
Signed By Date
1/15/2015
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session