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PARKLAND PHARMACY DEVELOPMENT LLC
CAH261336-00 IRON COUNTY HOSPITAL
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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
1025 HIGHWAY 72 BYP
FREDERICKTOWN, MO 63645
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
1/14/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joshua Gilmore, Chief Executive Officer
(573) 546-8003
Contract Pharmacy Representative
PARKLAND HEALTH MART PHARMACY
Lisa Umfleet, Owner
(573) 546-6000
Signed By Date
4/16/2018
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