340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOMETOWN PHARMACY #4
CH07449G OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
Print
Covered Entity Details
Entity Name
OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
Subdivision Name
ACCESS Family Care - Aurora Clinic
Type
HRSA-Funded Health Center
340B ID
CH07449G
Entity Address
1810 S Carnation Dr.
Aurora, MO 65605
Grant Number
H80CS00673
Participating Start Date
10/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOMETOWN PHARMACY #4
Pharmacy Address
606 E MT VERNON BLVD
PO BOX 68
MOUNT VERNON, MO 65712
Pharmacy Comments
Contract Details
Approval Date
7/23/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/18/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Gail Vaughn, Manager/Owner
(417) 466-2000
Signed By Date
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session