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GERBES PHARMACY #111
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
GERBES PHARMACY #111
Pharmacy Address
DILLON SPRINGFIELD DIVISION
205 E. NIFONG
COLUMBIA, MO 65203
Pharmacy Comments
Contract Details
Approval Date
10/1/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Agreement registered in error
Contacts
Covered Entity Signing Official
Jake Matthew Krafve, Chief Financial Officer
(636) 332-8392
Contract Pharmacy Representative
Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
Signed By Date
10/1/2020
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