340B Drug Pricing Program Database


MISSOURI CVS PHARMACY, L.L.C. - information as of 6/21/2025 12:24:00 AM


MISSOURI CVS PHARMACY, L.L.C.

DBA CVS/PHARMACY #11311
1003 N US HIGHWAY 65
CARROLLTON, MO 64633



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCAH261332-00Carroll County Memorial Hospital Critical Access Hospital1502 N Jefferson
CarrolltonMO10/01/202004/18/20234/18/2023 12:01 AM
DetailsCHC26561-00HCC NetworkHCC Network - WaverlyHRSA-Funded Health Center608 Missouri St
WaverlyMO04/01/202004/18/20234/18/2023 3:06 PM
DetailsDSH260142JOHN FITZGIBBON MEMORIAL HOSPITAL Disproportionate Share Hospital2305 SOUTH HIGHWAY 65
MARSHALLMO10/01/202004/18/20235/30/2023 10:54 AM
DetailsDSH260142AJOHN FITZGIBBON MEMORIAL HOSPITALAkeman-McBurney Medical ClinicDisproportionate Share Hospital420 W. Front St.
SlaterMO10/01/202004/18/20235/30/2023 10:54 AM
DetailsDSH260142BJOHN FITZGIBBON MEMORIAL HOSPITALGrand River Medical ClinicDisproportionate Share Hospital815 E. Broadway
BrunswickMO10/01/202004/18/20235/30/2023 10:54 AM
DetailsDSH260142CJOHN FITZGIBBON MEMORIAL HOSPITALJOHN FITZGIBBON MEM HOSPITAL INC - Fitzgibbon Family HealthDisproportionate Share Hospital600 W MORRISON ST STE 5
FAYETTEMO04/01/202304/18/20235/30/2023 10:55 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsCommentsInsert   7/30/2018 10:19 AM
DetailsIs DeletedInsert  False7/30/2018 10:19 AM
AddressesPharmacy AddressInsert  MISSOURI CVS PHARMACY, L.L.C. DBA CVS/PHARMACY #11311 1003 N US HIGHWAY 65 CARROLLTON, MO 646337/30/2018 10:19 AM
DetailsNameInsert  MISSOURI CVS PHARMACY, L.L.C.7/30/2018 10:19 AM