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HOMETOWN PHARMACY
CHC26561-00 HCC Network
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Covered Entity Details
Entity Name
HCC Network
Subdivision Name
HCC Network - Waverly
Type
HRSA-Funded Health Center
340B ID
CHC26561-00
Entity Address
608 Missouri St
Waverly, MO 64096-8241
Grant Number
H80CS26561
Participating Start Date
7/1/2014
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
HOMETOWN PHARMACY
Pharmacy Address
1409 N JEFFERSON ST
CARROLLTON, MO 64633-1945
Pharmacy Comments
Contract Details
Approval Date
4/18/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/15/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Toniann Richard, Executive Director
(660) 259-2440
Contract Pharmacy Representative
Blake Riley, Owner
(660) 542-2020
Signed By Date
4/11/2014
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