Contract Pharmacy Details

SCHNUCKS PHARMACY #399
CHC08748-06 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI

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 #399

Pharmacy Address

12921 ENTERPRISE WAY
BRIDGETON, MO 63044-1206

Pharmacy Comments

Contract Details

Approval Date

10/10/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2020
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

10/10/2019

340B Drug Pricing Program Database