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WEST PINE PHARMACY
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
WEST PINE PHARMACY
Pharmacy Address
FR HAEFNER, INC
11 N SARAH ST
SAINT LOUIS, MO 63108
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/2/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Conover, CRO
(573) 353-0014
Contract Pharmacy Representative
West Pine Pharmacy
Devin Dalpoas, President
(314) 533-1081
Signed By Date
7/13/2021
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