340B Drug Pricing Program Database
MISSOURI CVS PHARMACY, L.L.C. - information as of 6/27/2025 6:18:59 AM
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Name
MISSOURI CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 05689
15846 MANCHESTER RD.
ELLISVILLE, MO 63011
Comments
Contracts
History
Contracts
Contract Detail
340B ID
Entity Name
Sub Name
Entity Type
Address
Address Cont.
City
State
Begin Date
Term Date
Edit Date
Details
CAH261314-00
HERMANN AREA HOSPITAL DISTRICT
Critical Access Hospital
509 WEST 18TH STREET
HERMANN
MO
07/28/2020
09/23/2024
11/6/2024 6:17 PM
Details
DSH260005
SSM HEALTH ST. JOSEPH HOSPITAL- SC
Disproportionate Share Hospital
300 FIRST CAPITOL DRIVE
ST. CHARLES
MO
07/01/2021
7/1/2021 12:01 AM
Details
DSH260091
SSM HEALTH ST MARY'S HOSPITAL-STL
Disproportionate Share Hospital
6420 CLAYTON ROAD
ST. LOUIS
MO
01/01/2023
1/1/2023 12:01 AM
Details
DSH260104
SSM HEALTH DEPAUL HOSPITAL
Disproportionate Share Hospital
12303 DePaul Dr
BRIDGETON
MO
01/01/2022
1/1/2022 12:01 AM
Details
DSH260105
SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL
Disproportionate Share Hospital
1201 South Grand Blvd.
ST. LOUIS
MO
07/01/2021
7/1/2021 12:01 AM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
3/28/2013 4:21 PM
Details
Is Deleted
Insert
False
3/28/2013 4:21 PM
Addresses
Pharmacy Address
Insert
MISSOURI CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY # 05689 15846 MANCHESTER RD. ELLISVILLE, MO 63011
3/28/2013 4:21 PM
Details
Name
Insert
MISSOURI CVS PHARMACY, L.L.C.
3/28/2013 4:21 PM
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