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WOODS PHARMACY #2489
CH0714960 REGIONAL HEALTH CARE CLINIC, INC.
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Covered Entity Details
Entity Name
REGIONAL HEALTH CARE CLINIC, INC.
Subdivision Name
REGIONAL HEALTH CARE CLINIC, INC., dba Katy Trail Community Health
Type
HRSA-Funded Health Center
340B ID
CH0714960
Entity Address
821 Westwood Dr
Sedalia, MO 65301-2102
Grant Number
H80CS06668
Participating Start Date
11/7/2005
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
WOODS PHARMACY #2489
Pharmacy Address
1047 S. MAGUIRE
WARRENSBURG, MO 64093
Pharmacy Comments
Contract Details
Approval Date
4/16/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Steve Bevans, CFO
(660) 851-7757
Contract Pharmacy Representative
WOODS SUPER MARKETS INC
PUSHPESH BHANDARI, DIRECTOR OF OPERATIONS
(417) 326-7601
Signed By Date
4/16/2018
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