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GRAND ST. PAUL CVS, L.L.C.
CH052730 OPEN CITIES HEALTH CENTER
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Covered Entity Details
Entity Name
OPEN CITIES HEALTH CENTER
Subdivision Name
OPEN CITIES HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH052730
Entity Address
409 Dunlap St N
Saint Paul, MN 55104-4201
Grant Number
H80CS00112
Participating Start Date
10/1/2001
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
GRAND ST. PAUL CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 17306
1300 UNIVERSITY AVE W
SAINT PAUL, MN 55104
Pharmacy Comments
Contract Details
Approval Date
1/3/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Becky R Howard, Interim CEO
(651) 290-9248
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/3/2023
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