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PHARMALOOP LLC
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
PHARMALOOP LLC
Pharmacy Address
VAN'S DELIVERY PHARMACY
3229 LEMAY FERRY RD
SAINT LOUIS, MO 63125-4419
Pharmacy Comments
Contract Details
Approval Date
10/3/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Sanford, Executive Vice President
(314) 367-7848 Ext: 1209
Contract Pharmacy Representative
Pharmaloop Van's Deliver Pharmacy
Yervand Simonyan, Pharmacist/Owner
(314) 200-6500
Signed By Date
10/3/2024
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