340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCOTLAND COUNTY PHARMACY
CAH261310-00 SCOTLAND COUNTY HOSPITAL
Print
Covered Entity Details
Entity Name
SCOTLAND COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261310-00
Entity Address
450 EAST SIGLER AVENUE
MEMPHIS, MO 63555
Medicare Provider Number
261310
Participating Start Date
4/1/2011
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
SCOTLAND COUNTY PHARMACY
Pharmacy Address
445 E GRAND AVE
MEMPHIS, MO 63555-1518
Pharmacy Comments
Contract Details
Approval Date
7/15/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
MARCIA DIAL, CEO
(660) 465-8511
Contract Pharmacy Representative
Scotland County Pharmacy
Matt McKee, Owner
(660) 465-2400
Signed By Date
7/15/2013
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