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PEVELY RX, INC.
CH0719300 COMPASS HEALTH, INC
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Covered Entity Details
Entity Name
COMPASS HEALTH, INC
Subdivision Name
Compass Health Inc.
Type
HRSA-Funded Health Center
340B ID
CH0719300
Entity Address
1032 CROSSWINDS CT
WENTZVILLE, MO 63385-4836
Grant Number
H80CS26563
Participating Start Date
9/1/2008
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
PEVELY RX, INC.
Pharmacy Address
DBA MEDICINE SHOPPE 1985
8640 COMMERCIAL BLVD
PEVELY, MO 63070
Pharmacy Comments
Contract Details
Approval Date
4/3/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Eugene Butler, Vice President of Pharmacy
(816) 406-5471
Contract Pharmacy Representative
Medicine Shoppe
Jason Wang, owner
(636) 479-6101
Signed By Date
4/3/2025
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