340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MONROE PHARMACY
CAH261322-00 Excelsior Spring City Hospital DBA Excelsior Springs Hospital
Print
Covered Entity Details
Entity Name
Excelsior Spring City Hospital DBA Excelsior Springs Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261322-00
Entity Address
1700 Rainbow Blvd
Excelsior Springs, MO 64024
Medicare Provider Number
261322
Participating Start Date
10/1/2011
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
MONROE PHARMACY
Pharmacy Address
412 N PENNSYLVANIA AVE, PO BOX 217
LAWSON, MO 64062
Pharmacy Comments
Contract Details
Approval Date
7/16/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sally S. Nance, CEO
(816) 630-6081 Ext: 2739
Contract Pharmacy Representative
Michael Russell, Owner
(816) 580-3415
Signed By Date
7/16/2013
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