Sexually transmitted disease clinic · MO
The Source Medical Clinic
- 0Registered locations
- 1Associated locations
- 8Contract pharmacies
- 4With no end date
- 1 October 2021In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “The Source Medical Clinic” (340B ID STD644681), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/STD644681
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 October 2021
- Certification date
- 4 May 2026
- Record last edited
- 4 May 2026
Identifiers
- 340B ID
- STD644681
- Entity type as filed
- STD
- Grant number
- NH25PS005142-01-02
2805 South Main St, Maryville MO 64468
Associated locations
| Organization | Address | Where |
|---|---|---|
| The Source Medical Clinic | 2805 South Main St | Maryville MO 64468 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ICARE RX LLC | MIAMI, FL | 1 October 2021 | no end date filed |
| PHYSICIAN'S RX PHARMACY, LLC | LARGO, MD | 1 October 2021 | no end date filed |
| PRXP OF CA LLC | ONTARIO, CA | 1 October 2021 | no end date filed |
| PRXP OF NEW YORK LLC | NEW YORK, NY | 1 October 2021 | no end date filed |
| ICARE RX LLC | MIAMI, FL | 1 April 2021 | 1 July 2021 |
| PHYSICIAN'S RX PHARMACY, LLC | LARGO, MD | 1 April 2021 | 1 July 2021 |
| PRXP OF CA LLC | ONTARIO, CA | 1 April 2021 | 1 July 2021 |
| PRXP OF NEW YORK LLC | NEW YORK, NY | 1 April 2021 | 1 July 2021 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.