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CAREMARK KANSAS SPECIALTY PHARMACY
CHC00680-00 COMMUNITY HEALTH & EMERGENCY SERVICES, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH & EMERGENCY SERVICES, INC
Subdivision Name
CAIRO MEGA CLINIC
Type
HRSA-Funded Health Center
340B ID
CHC00680-00
Entity Address
13245 Kessler Rd
Cairo, IL 62914-3101
Grant Number
H80CS00680
Participating Start Date
1/1/2009
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CAREMARK KANSAS SPECIALTY PHARMACY
Pharmacy Address
CVS/SPECIALTY OR CARELONRX SPECIALTY PHA
11162 RENNER BLVD
LENEXA, KS 66219
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/8/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Frederick Bernstein, CEO
(618) 457-0450 Ext: 3901
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2021
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