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EVERSANA LIFE SCIENCE SERVICES, LLC
HM63110 Washington University Center for Treatment of Bleeding & Blood Clotting Disorders
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Covered Entity Details
Entity Name
Washington University Center for Treatment of Bleeding & Blood Clotting Disorders
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM63110
Entity Address
660 South Euclid Avenue
MSC-8125-22-1101
St. Louis, MO 63110-1010
Grant Number
Participating Start Date
10/1/2012
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
EVERSANA LIFE SCIENCE SERVICES, LLC
Pharmacy Address
17877 CHESTERFIELD AIRPORT ROAD
CHESTERFIELD, MO 63005-1211
Pharmacy Comments
Contract Details
Approval Date
4/11/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/13/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Connie L. Motoki, Sr. Contracts Manager-OSRS
(314) 935-9443
Contract Pharmacy Representative
Centric Health Resources
Chad Forinash, VP , Patient Dispensing
(314) 852-8687
Signed By Date
4/11/2014
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