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GRAND ST. PAUL CVS, L.L.C.
CH050320 COMMUNITY HEALTH SERVICE INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SERVICE INC.
Subdivision Name
Community Health Service Inc. Moorhead
Type
HRSA-Funded Health Center
340B ID
CH050320
Entity Address
2310 4th Ave N
Moorhead, MN 56560
Grant Number
H80CS00660
Participating Start Date
7/1/1999
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
GRAND ST. PAUL CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16188
2505 1ST ST S
WILLMAR, MN 56201
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rhonda Eastlund, CEO
(507) 206-5756
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/14/2024
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