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SHOPKO PHARMACY #2710
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
SHOPKO PHARMACY #2710
Pharmacy Address
212 N MAIN ST
GALLATIN, MO 64640
Pharmacy Comments
Contract Details
Approval Date
4/26/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Matt Younger, CEO
(816) 307-5303
Contract Pharmacy Representative
ShopKo
Lorie Neumann, Contracting & Compliance
(920) 429-4726
Signed By Date
4/26/2016
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