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HEALTHCARE PHARMACY
CAH261311-00 Mercy Hospital Perry
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Covered Entity Details
Entity Name
Mercy Hospital Perry
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261311-00
Entity Address
434 N. WEST ST.
PERRYVILLE, MO 63775
Medicare Provider Number
261311
Participating Start Date
4/1/2011
Last Recertification Date
8/30/2024
Pharmacy Details
Pharmacy Name
HEALTHCARE PHARMACY
Pharmacy Address
HEALTHCARE PHARMACY
628 OLD SAINT MARYS RD
P.O. BOX 469
PERRYVILLE, MO 63775-6377
Pharmacy Comments
Contract Details
Approval Date
8/17/2012
Contract Begin Date
8/17/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/29/2017
Ownership change
Contacts
Covered Entity Signing Official
LEE CLINTON, VICE PRESIDENT OF OPERATIONS, COO
(573) 547-2536 Ext: 3209
Contract Pharmacy Representative
Barry J. Naeger, President
(573) 547-2517
Signed By Date
7/18/2012
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