340B Drug Pricing Program Database
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WALGREEN CO.
STD63144 NOVUS Health Inc.
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Covered Entity Details
Entity Name
NOVUS Health Inc.
Subdivision Name
University Club Medical
Type
Sexually Transmitted Diseases
340B ID
STD63144
Entity Address
1520 S Brentwood Blvd.
St. Louis, MO 63144
Grant Number
NH25PS005142
Participating Start Date
1/1/2020
Last Recertification Date
5/7/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15311
115 N EUCLID AVE STE A
SAINT LOUIS, MO 63108
Pharmacy Comments
Contract Details
Approval Date
11/15/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Alan Parks, Vice President
(314) 882-8855
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/4/2019
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