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GATEWAY APOTHECARY, INC.
HV07849 WASHINGTON UNIVERSITY IN ST. LOUIS
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Covered Entity Details
Entity Name
WASHINGTON UNIVERSITY IN ST. LOUIS
Subdivision Name
Washington University Infectious Diseases Clinic
Type
Ryan White Part C
340B ID
HV07849
Entity Address
620 S TAYLOR AVENUE
SUITE 100
SAINT LOUIS, MO 63110-1010
Grant Number
H76HA07849
Participating Start Date
4/1/2010
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
GATEWAY APOTHECARY, INC.
Pharmacy Address
4473 FOREST PARK AVE
SAINT LOUIS, MO 63108-2211
Pharmacy Comments
Contract Details
Approval Date
8/17/2012
Contract Begin Date
8/17/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry J. Shapiro, Executive Vice Chancellor & Dean
(314) 362-6827
Contract Pharmacy Representative
BH Pharmacy
Craig Schatz, President
(314) 381-1818
Signed By Date
7/31/2012
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