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WAL-MART PHARMACY #10-0451
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 #10-0451
Pharmacy Address
1201 GRINDSTONE PARKWAY
COLUMBIA, MO 65201
Pharmacy Comments
Contract Details
Approval Date
10/1/2020
Contract Begin Date
10/2/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jake Matthew Krafve, Chief Financial Officer
(636) 332-8392
Contract Pharmacy Representative
Healdsburg District Hospital
Kathi Phelps, Manager Contracting
(479) 277-3719
Signed By Date
10/1/2020
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