Pharmacy Details

MISSOURI CVS PHARMACY, L.L.C. - information as of 4/27/2025 1:00:43 AM

Name
MISSOURI CVS PHARMACY, L.L.C.

Address

DBA CVS/PHARMACY # 10152
1501 E. OHIO ST.
CLINTON, MO 64735

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	CAH261301-00	ELLETT MEMORIAL HOSPITAL		Critical Access Hospital	610 NORTH OHIO AVENUE		Appleton City	MO	01/01/2020		1/1/2020 12:05 AM
Details	CH0719300	COMPASS HEALTH, INC	Compass Health Inc.	HRSA-Funded Health Center	1032 CROSSWINDS CT		WENTZVILLE	MO	10/01/2019		10/1/2019 12:05 AM
Details	CH072130	NORTHWEST HEALTH SERVICES, INC.	FAMILY MEDICINE ASSOCIATES	HRSA-Funded Health Center	2303 Village Dr		Saint Joseph	MO	10/01/2020		10/1/2020 12:01 AM
Details	DSH170040	UNIVERSITY OF KANSAS HOSPITAL		Disproportionate Share Hospital	4000 Cambridge Street		Kansas City	KS	07/01/2022		7/1/2022 12:01 AM
Details	DSH260006	HEARTLAND REGIONAL MEDICAL CENTER		Disproportionate Share Hospital	5325 FARAON		ST. JOSEPH	MO	01/01/2024		1/1/2024 12:01 AM
Details	DSH260175	GOLDEN VALLEY MEMORIAL HOSPITAL		Disproportionate Share Hospital	1600 NORTH SECOND		CLINTON	MO	10/01/2021		10/1/2021 12:01 AM
Details	DSH260195	CITIZENS MEMORIAL HOSPITAL DISTRICT		Disproportionate Share Hospital	1500 NORTH OAKLAND		BOLIVAR	MO	04/01/2022		4/1/2022 12:01 AM
Details	RRC260175-00	GOLDEN VALLEY MEMORIAL HOSPITAL DISTRICT		Rural Referral Center	1600 NORTH SECOND STREET		CLINTON	MO	01/01/2015	10/01/2021	10/1/2021 12:01 AM
Details	SCH260006-00	HEARTLAND REGIONAL MEDICAL CENTER		Sole Community Hospital	5325 FARAON		ST. JOSEPH	MO	07/01/2023	01/01/2024	1/1/2024 12:01 AM
Details	SCH260097-00	WESTERN MISSOURI MEDICAL CENTER		Sole Community Hospital	403 BURKARTH ROAD		WARRENSBURG	MO	07/01/2020		7/1/2020 12:01 AM
Details	SCH260195-00	CITIZENS MEMORIAL HOSPITAL DISTRICT		Sole Community Hospital	1500 NORTH OAKLAND		BOLIVAR	MO	11/01/2021	04/01/2022	4/1/2022 12:01 AM
Details	STD66205	Doc Shop, P.A.	Doc Shop, P.A.	Sexually Transmitted Diseases	5407 Johnson Drive	Street	Mission	KS	04/01/2024		4/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				4/5/2013 6:39 PM
Details	Is Deleted	Insert			False	4/5/2013 6:39 PM
Addresses	Pharmacy Address	Insert			MISSOURI CVS PHARMACY, L.L.C. DBA CVS/PHARMACY # 10152 1501 E. OHIO ST. CLINTON, MO 64735	4/5/2013 6:39 PM
Details	Name	Insert			MISSOURI CVS PHARMACY, L.L.C.	4/5/2013 6:39 PM