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THE MEDICINE SHOPPE
CAH261319-00 Mercy Hospital Lincoln
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Covered Entity Details
Entity Name
Mercy Hospital Lincoln
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261319-00
Entity Address
1000 E CHERRY ST
TROY, MO 63379
Medicare Provider Number
261319
Participating Start Date
8/24/2010
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE
Pharmacy Address
MS TROY INC
10 CENTERLINE DRIVE
TROY, MO 63379
Pharmacy Comments
Contract Details
Approval Date
10/20/2011
Contract Begin Date
9/30/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Patrick Bira, CEO
(636) 528-3324
Contract Pharmacy Representative
Jerry Callahan, President
(636) 462-7005
Signed By Date
8/27/2011
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