340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PARKLAND PHARMACY DEVELOPMENT LLC
CAH261336-00 IRON COUNTY HOSPITAL
Print
Covered Entity Details
Entity Name
IRON COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH261336-00
Entity Address
301 NORTH HWY 21
PILOT KNOB, MO 63663
Medicare Provider Number
261336
Participating Start Date
10/1/2016
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
PARKLAND PHARMACY DEVELOPMENT LLC
Pharmacy Address
DBA PARKLAND PHARMACY
1500 N HIGHWAY 21
IRONTON, MO 63650
Pharmacy Comments
Contract Details
Approval Date
4/18/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Terry W. Nichols, Chief Executive Officer
(573) 546-8003
Contract Pharmacy Representative
Parkland Pharmacy Development LLC
Lisa Umfleet, Owner
(573) 546-6000
Signed By Date
4/18/2017
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