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PRESCRIPTION DRUG STORE LLC
CH071370 SOUTHEAST MISSOURI HEALTH NETWORK
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Covered Entity Details
Entity Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
SOUTHEAST MISSOURI HEALTH NETWORK
Type
HRSA-Funded Health Center
340B ID
CH071370
Entity Address
420 SEMO DR
NEW MADRID, MO 63869-1734
Grant Number
H80CS00557
Participating Start Date
1/1/2005
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
PRESCRIPTION DRUG STORE LLC
Pharmacy Address
PRESCRIPTION DRUG STORE #1
410 WARD AVE
CARUTHERSVILLE, MO 63830
Pharmacy Comments
Contract Details
Approval Date
4/17/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
CHRIS JONES, CEO
(573) 313-2501
Contract Pharmacy Representative
Prescription Drug Store LCC
SHANE DUDLEY, DIRECTOR OF PHARMACY - MANAGER
(573) 333-4890
Signed By Date
4/17/2018
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