340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
AUBURN PHARMACY, INC.
SCH260097-00 WESTERN MISSOURI MEDICAL CENTER
Print
Covered Entity Details
Entity Name
WESTERN MISSOURI MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH260097-00
Entity Address
403 BURKARTH ROAD
WARRENSBURG, MO 64093
Medicare Provider Number
260097
Participating Start Date
10/1/2015
Last Recertification Date
8/16/2024
Pharmacy Details
Pharmacy Name
AUBURN PHARMACY, INC.
Pharmacy Address
AUBURN PHARMACY #265
1200 E 10TH ST STE B
HOLDEN, MO 64040-8800
Pharmacy Comments
Contract Details
Approval Date
12/7/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Dean Ohmart, Chief Financial Officer
(660) 262-7307
Contract Pharmacy Representative
Auburn Pharmacy
Michael Burns, President / CEO
(816) 732-5514
Signed By Date
12/7/2017
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