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WAL-MART PHARMACY 10-0027
CH0719300 COMPASS HEALTH, INC
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Covered Entity Details
Entity Name
COMPASS HEALTH, INC
Subdivision Name
Compass Health Inc.
Type
HRSA-Funded Health Center
340B ID
CH0719300
Entity Address
1032 CROSSWINDS CT
WENTZVILLE, MO 63385-4836
Grant Number
H80CS26563
Participating Start Date
9/1/2008
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-0027
Pharmacy Address
1101 HWY 32 WEST
SALEM, MO 65560
Pharmacy Comments
Contract Details
Approval Date
4/9/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/14/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jake Matthew Krafve, Chief Financial Officer
(636) 332-8392
Contract Pharmacy Representative
Wal Mart
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
4/9/2020
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