340B Drug Pricing Program Database


MISSOURI CVS PHARMACY, L.L.C. - information as of 6/21/2025 11:10:38 PM


MISSOURI CVS PHARMACY, L.L.C.

DBA: CVS/PHARMACY #04191
4100 GRAVOIS AVE.
ST. LOUIS, MO 63116



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCH071700FAMILY CARE HEALTH CENTERSCARONDELETHRSA-Funded Health Center401 HOLLY HILLS AVE
ST LOUISMO01/01/202403/27/20253/27/2025 12:01 AM
DetailsCHC26512-01PREFERRED FAMILY HEALTHCARE, INCORPORATEDPreferred Family Healthcare dba Clarity HealthcareHRSA-Funded Health Center141 COMMUNICATION DR
HANNIBALMO10/01/202003/27/20254/9/2025 11:32 AM
DetailsDSH260091SSM HEALTH ST MARY'S HOSPITAL-STL Disproportionate Share Hospital6420 CLAYTON ROAD
ST. LOUISMO01/26/202103/17/20254/14/2025 9:56 AM
DetailsDSH260104SSM HEALTH DEPAUL HOSPITAL Disproportionate Share Hospital12303 DePaul Dr
BRIDGETONMO07/01/202103/17/20254/14/2025 9:57 AM
DetailsDSH260105SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL Disproportionate Share Hospital1201 South Grand Blvd.
ST. LOUISMO10/01/201604/08/20194/8/2019 11:49 PM
DetailsDSH260105SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL Disproportionate Share Hospital1201 South Grand Blvd.
ST. LOUISMO04/19/201903/17/20254/14/2025 9:56 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsCommentsInsert   3/28/2013 4:21 PM
DetailsIs DeletedInsert  False3/28/2013 4:21 PM
AddressesPharmacy AddressInsert  MISSOURI CVS PHARMACY, L.L.C. DBA: CVS/PHARMACY #04191 4100 GRAVOIS AVE. ST. LOUIS, MO 631163/28/2013 4:21 PM
DetailsNameInsert  MISSOURI CVS PHARMACY, L.L.C.3/28/2013 4:21 PM