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MISSOURI CVS PHARMACY, L.L.C.
CH07530H FAMILY HEALTH CENTER OF BOONE COUNTY
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Covered Entity Details
Entity Name
FAMILY HEALTH CENTER OF BOONE COUNTY
Subdivision Name
FAMILY HEALTH CENTER AT SALISBURY
Type
HRSA-Funded Health Center
340B ID
CH07530H
Entity Address
307 S. BROADWAY
SALISBURY, MO 65281
Grant Number
H80CS00573
Participating Start Date
4/1/2005
Last Recertification Date
1/28/2020
Entity Termination Date
1/1/2021
Pharmacy Details
Pharmacy Name
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #11314
1105 N RUTHERFORD ST
MACON, MO 63552
Pharmacy Comments
Contract Details
Approval Date
7/2/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jack Kelly, Chief Executive Officer
(573) 886-6713
Contract Pharmacy Representative
Wellpartner, a CVS Health Company
Caleigh Geiser, Consultant, Account Manager
(832) 343-6514
Signed By Date
7/2/2020
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