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U.S. DISCOUNT PHARMACY LLC
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
U.S. DISCOUNT PHARMACY LLC
Pharmacy Address
30050 HOOVER RD STE G
WARREN, MI 48093-2544
Pharmacy Comments
Contract Details
Approval Date
7/14/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TESS G RICHARDS, M.D., INTERIM EXECUTIVE DIRECTOR
(340) 775-3700 Ext: 3023
Contract Pharmacy Representative
US Discount Pharmacy
Razur Rahman, Pharmacist in Charge
(586) 578-9621
Signed By Date
7/14/2023
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