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ROGERS PHARMACY
CH072130 NORTHWEST HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
NORTHWEST HEALTH SERVICES, INC.
Subdivision Name
FAMILY MEDICINE ASSOCIATES
Type
HRSA-Funded Health Center
340B ID
CH072130
Entity Address
2303 Village Dr
Saint Joseph, MO 64506-4954
Grant Number
H80CS00671
Participating Start Date
10/1/1997
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
ROGERS PHARMACY
Pharmacy Address
607 STATE ST
MOUND CITY, MO 64470-1146
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael D. Pyrtle, CEO
(816) 271-8239
Contract Pharmacy Representative
Rogers Pharmacy
Benne Rogers, Owner & CFO
(816) 232-3348
Signed By Date
7/14/2015
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