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MISSOURI CVS PHARMACY, L.L.C.
CHC26512-01 PREFERRED FAMILY HEALTHCARE, INCORPORATED
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Covered Entity Details
Entity Name
PREFERRED FAMILY HEALTHCARE, INCORPORATED
Subdivision Name
Preferred Family Healthcare dba Clarity Healthcare
Type
HRSA-Funded Health Center
340B ID
CHC26512-01
Entity Address
141 COMMUNICATION DR
HANNIBAL, MO 63401-3670
Grant Number
H80CS26512
Participating Start Date
10/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #18057
4171 LINDELL BLVD
SAINT LOUIS, MO 63108
Pharmacy Comments
Contract Details
Approval Date
10/15/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Conover, CRO
(573) 353-0014
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2020
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