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MISSOURI CVS PHARMACY, L.L.C.
CH072100 BETTY JEAN KERR - PEOPLE'S HEALTH CENTERS
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Covered Entity Details
Entity Name
BETTY JEAN KERR - PEOPLE'S HEALTH CENTERS
Subdivision Name
PEOPLE'S HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH072100
Entity Address
5701 Delmar Blvd
Saint Louis, MO 63112-2617
Grant Number
H80CS00133
Participating Start Date
7/1/1996
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MISSOURI CVS PHARMACY, L.L.C.
Pharmacy Address
DBA CVS/PHARMACY #18061
49 N FLORISSANT RD
FERGUSON, MO 63135-2310
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
Mark Sanford, Executive Vice President
(314) 367-7848 Ext: 1209
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/12/2023
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