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AMDAN INC D/B/A THE MEDICINE SHOPPE #195
CH025310 St. Thomas East End Medical Center Corporation
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Covered Entity Details
Entity Name
St. Thomas East End Medical Center Corporation
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH025310
Entity Address
4605 TUTU PARK MALL, SUITE 207
ST. THOMAS, VI 00805-3177
Grant Number
H80CS00373
Participating Start Date
1/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AMDAN INC D/B/A THE MEDICINE SHOPPE #195
Pharmacy Address
THE MEDICINE SHOPPE #1956
6F STATE THOMAS NEW QUARTERS B
C/O 9004 HAVENSIGHT SHOPP CTR STE D-F
ST THOMAS, VI 00802
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Moleto A. Smith Jr., Executive Director
(340) 775-3700 Ext: 2003
Contract Pharmacy Representative
Medicine Shoppe
Amy Durand, Owner
(340) 776-1235
Signed By Date
4/15/2021
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