340B Drug Pricing Program Database

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MISSOURI CVS PHARMACY, L.L.C.
DSH260105 SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL

Covered Entity Details

Disproportionate Share Hospital
DSH260105
1201 South Grand Blvd.
ST. LOUIS, MO 63104
260105
4/1/2016
8/15/2024


Pharmacy Details

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

Contract Details

4/19/2019
4/19/2019

3/17/2025
Pharmacy closed


Contacts


Karen D. Rewerts, Regional VP of Financa/CFO
(314) 989-2034



CVS Health
Jaclyn Parfitt, 340B Operations Manager
(401) 770-6467
4/19/2019