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SCOTLAND COUNTY PHARMACY
CAH261305-00 PUTNAM COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
PUTNAM COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261305-00
Entity Address
1926 OAK STREET
UNIONVILLE, MO 63565
Medicare Provider Number
261305
Participating Start Date
4/1/2018
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
SCOTLAND COUNTY PHARMACY
Pharmacy Address
445 E GRAND AVE
MEMPHIS, MO 63555-1518
Pharmacy Comments
Contract Details
Approval Date
4/17/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Gayle Pickens, CEO
(660) 947-2411 Ext: 2915
Contract Pharmacy Representative
Scotland County Pharmacy
Matt McKee, Owner
(660) 465-2400
Signed By Date
4/17/2017
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