340B Drug Pricing Program Database
MISSOURI CVS PHARMACY, L.L.C. - information as of 5/9/2025 11:02:59 PM
Export
Name
MISSOURI CVS PHARMACY, L.L.C.
Address
DBA: CVS/PHARMACY # 03087
11560 OLIVE BLVD.
CREVE COEUR, MO 63141
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
DSH260032
BARNES-JEWISH HOSPITAL
Disproportionate Share Hospital
One Barnes-Jewish Hospital Plaza
St. Louis
MO
10/01/2015
06/15/2017
7/24/2017 6:29 PM
Details
DSH260091
SSM HEALTH ST MARY'S HOSPITAL-STL
Disproportionate Share Hospital
6420 CLAYTON ROAD
ST. LOUIS
MO
01/26/2021
1/26/2021 3:35 PM
Details
DSH260104
SSM HEALTH DEPAUL HOSPITAL
Disproportionate Share Hospital
12303 DePaul Dr
BRIDGETON
MO
07/01/2021
7/1/2021 12:01 AM
Details
DSH520066
MERCY HEALTH SYSTEM CORPORATION
Disproportionate Share Hospital
1000 MINERAL POINT AVE
JANESVILLE
WI
10/01/2020
01/01/2024
1/1/2024 12:01 AM
Details
RRC520066-00
MERCY HEALTH SYSTEM CORPORATION
Rural Referral Center
1000 MINERAL POINT AVE
JANESVILLE
WI
01/01/2024
1/1/2024 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 # 03087 11560 OLIVE BLVD. CREVE COEUR, MO 63141
3/28/2013 4:21 PM
Details
Name
Insert
MISSOURI CVS PHARMACY, L.L.C.
3/28/2013 4:21 PM
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session