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MISSOURI CVS PHARMACY, L.L.C.
CH070290 SAMUEL U RODGERS HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
SAMUEL U RODGERS HEALTH CENTER, INC.
Subdivision Name
Samuel U. Rodgers Health Center Downtown Campus
Type
HRSA-Funded Health Center
340B ID
CH070290
Entity Address
825 EUCLID AVENUE
KANSAS CITY, MO 64124-2323
Grant Number
H80CS00784
Participating Start Date
12/1/1992
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08576
2435 E INDEPENDENCE
KANSAS CITY, MO 64124
Pharmacy Comments
Contract Details
Approval Date
10/13/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/9/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Hilda Fuentes, President & CEO
(816) 889-4600
Contract Pharmacy Representative
CVS Health
Jaclyn Parfitt, 340B Operations Manager
(401) 770-6467
Signed By Date
10/13/2016
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