340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WOODS PHARMACY 2472
DSH260061 NEVADA CITY HOSPITAL
Print
Covered Entity Details
Entity Name
NEVADA CITY HOSPITAL
Subdivision Name
DBA NEVADA REGIONAL MEDICAL CENTER
Type
Disproportionate Share Hospital
340B ID
DSH260061
Entity Address
800 SOUTH ASH STREET
NEVADA, MO 64772
Medicare Provider Number
260061
Participating Start Date
7/1/2009
Last Recertification Date
9/4/2024
Pharmacy Details
Pharmacy Name
WOODS PHARMACY 2472
Pharmacy Address
WOODS PHARMACY 2472
1407 W AUSTIN BLVD
NEVADA, MO 64772-2805
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/21/2021
Ownership change
Contacts
Covered Entity Signing Official
Wes Braman, CEO
(417) 448-3626
Contract Pharmacy Representative
Woods Supermarket
Rick Bhandari, Director of Pharmacy
(417) 328-1046
Signed By Date
4/13/2018
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