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CH04327Y EAU CLAIRE COOPERATIVE HEALTH CENTER (Active)
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Main Details
Name
EAU CLAIRE COOPERATIVE HEALTH CENTER
Subdivision Name
Hopkins Pediatrics and Family Practice
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013621
340B ID
CH04327Y
Grant Number
H80CS00730
Additional Details
Current Program Status
Active
Registration Date
7/10/2014
Participating Start Date
10/1/2014
Participating Approval Date
7/22/2014
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC
GLORIA WARNER, INTERIM PRESIDENT AND CEO
(803) 733-5969
Primary Contact
Eau Claire Cooperative Health Center, Inc
GRETCHEN BECKHAM, DIRECTOR OF PHARMACY
(803) 603-5737
Addresses
Street Address
9023 Garners Ferry Rd
Hopkins, SC 29061-9540
Billing Address
Eau Claire Cooperative Health Center, Inc
PO BOX 3788
Columbia, SC 29230
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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