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GATEWAY APOTHECARY, INC.
STD631082 NOVUS Health Inc.
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Covered Entity Details
Entity Name
NOVUS Health Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD631082
Entity Address
6155 South Grand Blvd
Unit B
St. Louis, MO 63111
Grant Number
NH25PS005142
Participating Start Date
10/1/2017
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
GATEWAY APOTHECARY, INC.
Pharmacy Address
4473 FOREST PARK AVE
SAINT LOUIS, MO 63108-2211
Pharmacy Comments
Contract Details
Approval Date
7/7/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Alan Parks, Vice President
(314) 882-8855
Contract Pharmacy Representative
Gateway Apothecary Inc
Craig R Schatz, CPA
(314) 620-1401
Signed By Date
7/7/2021
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