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SCHNUCKS PHARMACY
CHC08748-06 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI
Subdivision Name
Community Health Center of Central Missouri - Christy Drive
Type
HRSA-Funded Health Center
340B ID
CHC08748-06
Entity Address
1511 Christy Drive
Jefferson City, MO 65101-2854
Grant Number
H80CS08748
Participating Start Date
7/1/2018
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SCHNUCKS PHARMACY
Pharmacy Address
SCHNUCKS MARKET, INC.
1801 MISSOURI BLVD
JEFFERSON CITY, MO 65109
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
7/31/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Toby Barnett, CFO
(573) 632-0243
Contract Pharmacy Representative
Schnucks Pharmacy
Noah Tennyson, Director of Specialty Pharmacy
(314) 994-4739
Signed By Date
7/15/2019
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