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GRAND ST. PAUL CVS, L.L.C.
CH052730 OPEN CITIES HEALTH CENTER
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Covered Entity Details
Entity Name
OPEN CITIES HEALTH CENTER
Subdivision Name
OPEN CITIES HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH052730
Entity Address
409 Dunlap St N
Saint Paul, MN 55104-4201
Grant Number
H80CS00112
Participating Start Date
10/1/2001
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
GRAND ST. PAUL CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16015
1744 SUBURBAN AVE
SAINT PAUL, MN 55106
Pharmacy Comments
Contract Details
Approval Date
4/9/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
John Pearson, CEO
(651) 290-9200 Ext: 9298
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/9/2025
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