Contract Pharmacy Details

SCHNUCKS PHARMACY
HV07849 WASHINGTON UNIVERSITY IN ST. LOUIS

Covered Entity Details

Entity Name

WASHINGTON UNIVERSITY IN ST. LOUIS

Subdivision Name

Washington University Infectious Diseases Clinic

Type

Ryan White Part C

340B ID

HV07849

Entity Address

620 S TAYLOR AVENUE
SUITE 100
SAINT LOUIS, MO 63110-1010

Grant Number

H76HA07849

Participating Start Date

4/1/2010

Last Recertification Date

2/20/2025

Pharmacy Details

Pharmacy Name

SCHNUCKS PHARMACY

Pharmacy Address

SCHNUCK MARKETS INC
6920 OLIVE BLVD
SAINT LOUIS, MO 63130

Pharmacy Comments

Contract Details

Approval Date

7/15/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/31/2020
Pharmacy closed

Contacts

Covered Entity Signing Official

Paul J Scheel, Jr, Associate Vice Chancellor for Clinical & CEO
(314) 362-6249

Contract Pharmacy Representative

Schnucks Pharmacy
Noah Tennyson, Director of Specialty Pharmacy
(314) 994-4739

Signed By Date

7/15/2019

340B Drug Pricing Program Database