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BEVERLY HILLS PHARMACY
DSH260032 BARNES-JEWISH HOSPITAL
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Covered Entity Details
Entity Name
BARNES-JEWISH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH260032
Entity Address
One Barnes-Jewish Hospital Plaza
St. Louis, MO 63110
Medicare Provider Number
260032
Participating Start Date
7/1/2004
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
BEVERLY HILLS PHARMACY
Pharmacy Address
CHRISTOPHER GERONSIN INC
7150 NATURAL BRIDGE RD
SAINT LOUIS, MO 63121-5151
Pharmacy Comments
Contract Details
Approval Date
1/20/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/19/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Robert Cannon, President
(314) 286-2118
Contract Pharmacy Representative
Gateway Apothecary Inc
Craig R Schatz, CPA
(314) 620-1401
Signed By Date
1/20/2015
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