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MISSOURI CVS PHARMACY, L.L.C.
CH070270 SWOPE HEALTH SERVICES
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Covered Entity Details
Entity Name
SWOPE HEALTH SERVICES
Subdivision Name
SWOPE HEALTH SERVICES CENTRAL
Type
HRSA-Funded Health Center
340B ID
CH070270
Entity Address
3801 Dr. Martin Luther King Jr. Blvd, Kansas City, MO 64130
Kansas City, MO 64130-2807
Grant Number
H80CS00599
Participating Start Date
12/1/1992
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08607
12000 S. 71 HWY.
GRANDVIEW, MO 64030
Pharmacy Comments
Contract Details
Approval Date
4/4/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dave Barber, PRESIDENT/CEO
(816) 599-5550
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/4/2019
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