340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SINKS PHARMACY 100
CAH261314-00 HERMANN AREA HOSPITAL DISTRICT
Print
Covered Entity Details
Entity Name
HERMANN AREA HOSPITAL DISTRICT
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261314-00
Entity Address
509 WEST 18TH STREET
HERMANN, MO 65041
Medicare Provider Number
261314
Participating Start Date
8/11/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SINKS PHARMACY 100
Pharmacy Address
206 D ALVARADO
PO BOX 934
BELLE, MO 65013
Pharmacy Comments
Contract Details
Approval Date
4/8/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAN MCKINNEY, ADMINISTRATOR
(573) 486-2191 Ext: 216
Contract Pharmacy Representative
Medley Pharmacy, Inc.
Sandy Mitchell, President
(573) 259-2910
Signed By Date
4/8/2013
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