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HORST PHARMACY
CH074020 CROSS TRAILS MEDICAL CENTER
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Covered Entity Details
Entity Name
CROSS TRAILS MEDICAL CENTER
Subdivision Name
CROSS TRAILS MEDICAL CENTER
Type
HRSA-Funded Health Center
340B ID
CH074020
Entity Address
408 S Broadview St
Cape Girardeau, MO 63703-5725
Grant Number
H80CS00211
Participating Start Date
10/1/1998
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HORST PHARMACY
Pharmacy Address
2705 E JACKSON BLVD
JACKSON, MO 63755
Pharmacy Comments
Contract Details
Approval Date
11/1/2006
Contract Begin Date
11/1/2006
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/21/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
9/27/2006
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