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GREEN HILLS PHARMACY
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
GREEN HILLS PHARMACY
Pharmacy Address
712 S MAIN ST
BROOKFIELD, MO 64628-6462
Pharmacy Comments
Contract Details
Approval Date
10/5/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jake Matthew Krafve, Chief Financial Officer
(636) 332-8392
Contract Pharmacy Representative
Green Hills Pharmacy
David Gardner, President
(660) 258-2122
Signed By Date
10/5/2020
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