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THE DRUG STORE
CAH261322-00 Excelsior Spring City Hospital DBA Excelsior Springs Hospital
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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
THE DRUG STORE
Pharmacy Address
KCJSE INC
610 N WALNUT ST
CAMERON, MO 64429-1831
Pharmacy Comments
Contract Details
Approval Date
4/14/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sally S. Nance, CEO
(816) 630-6081 Ext: 2739
Contract Pharmacy Representative
Signed By Date
4/14/2014
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