Contract Pharmacy Details

BOND PHARMACY
CHC08748-00 COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTER OF CENTRAL MISSOURI

Subdivision Name

Jefferson City Clinic

Type

HRSA-Funded Health Center

340B ID

CHC08748-00

Entity Address

3400 W Truman Blvd
Jefferson City, MO 65109-5712

Grant Number

H80CS08748

Participating Start Date

1/1/2011

Last Recertification Date

2/9/2018

Entity Termination Date

10/1/2018

Pharmacy Details

Pharmacy Name

BOND PHARMACY

Pharmacy Address

703 W BUCHANAN ST
CALIFORNIA, MO 65018

Pharmacy Comments

Contract Details

Approval Date

7/11/2012

Contract Begin Date

7/11/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/31/2017
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Mark Conover, Chief Operations Officer
(573) 632-0243 Ext: 105

Contract Pharmacy Representative

Ward Bond, President
(573) 796-3145

Signed By Date

6/19/2012

340B Drug Pricing Program Database