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HERMITAGE PROFESS PHARMACY
CHC24137-00 Ozarks Resource Group
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Covered Entity Details
Entity Name
Ozarks Resource Group
Subdivision Name
OCHC - Hermitage Medical Center
Type
HRSA-Funded Health Center
340B ID
CHC24137-00
Entity Address
18614 Jackson St.
Hermitage, MO 65668-0021
Grant Number
H80CS24137
Participating Start Date
7/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HERMITAGE PROFESS PHARMACY
Pharmacy Address
23649 DALLAS ST
P.O.BOX 370
HERMITAGE, MO 65668
Pharmacy Comments
Contract Details
Approval Date
7/10/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Crouch, CEO
(417) 745-2121
Contract Pharmacy Representative
Hermitage Professional Pharmacy
Alvin L. Nyberg, Pharmacist-In-Charge
(417) 345-2321
Signed By Date
7/10/2013
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