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MISSOURI CVS PHARMACY, L.L.C.
CHC28965-05 FORDLAND CLINIC
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Covered Entity Details
Entity Name
FORDLAND CLINIC
Subdivision Name
Blue Eye Elementary
Type
HRSA-Funded Health Center
340B ID
CHC28965-05
Entity Address
658 STATE HIGHWAY EE
BLUE EYE, MO 65611-7222
Grant Number
H80CS28965
Participating Start Date
4/1/2016
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY # 10003
105 LOYD ST.
BRANSON, MO 65616
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Steinmann, CEO
(417) 767-2273 Ext: 2022
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2023
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