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GROVE PROFESSIONAL PHARMACIES, INC.
STD65804 AIDS Project of the Ozarks
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Covered Entity Details
Entity Name
AIDS Project of the Ozarks
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD65804
Entity Address
1636 S Glenstone Avenue, Ste 100
Springfield, MO 65804-1506
Grant Number
NH25PS005142
Participating Start Date
10/1/2015
Last Recertification Date
5/14/2024
Pharmacy Details
Pharmacy Name
GROVE PROFESSIONAL PHARMACIES, INC.
Pharmacy Address
DBA: GROVE PHARMACY
1636 S GLENSTONE AVE STE 108
SPRINGFIELD, MO 65804-1527
Pharmacy Comments
Contract Details
Approval Date
7/7/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lynne L. Meyerkord, Executive Director
(417) 881-1900
Contract Pharmacy Representative
Gary Grove, President
(417) 881-8822
Signed By Date
7/7/2017
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