340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SHERRI'S PHARMACY SERVICE, INC.
CAH261328-02 NORTHWEST MEDICAL CENTER ASSOCIATION, INC.
Print
Covered Entity Details
Entity Name
NORTHWEST MEDICAL CENTER ASSOCIATION, INC.
Subdivision Name
MOSAIC MEDICAL CENTER ALBANY ER PHYSICIAN'S GROUP
Type
Critical Access Hospital
340B ID
CAH261328-02
Entity Address
705 N. COLLEGE
ALBANY, MO 64402
Medicare Provider Number
261328
Outpatient Facility Provider Number
261328
Participating Start Date
9/27/2010
Last Recertification Date
8/22/2018
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
SHERRI'S PHARMACY SERVICE, INC.
Pharmacy Address
DBA SHERRI'S PHARMACY SERVICES
108 S. MAIN ST.
PO BOX 267
GRANT CITY, MO 64456-0267
Pharmacy Comments
06/25/2012 changed address (was 108 E. 1ST ST., STE. A)
Contract Details
Approval Date
10/20/2011
Contract Begin Date
6/15/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
6/15/2011
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