340B Drug Pricing Program Database
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CH05213Y Christopher Rural Health Planning Corp (Active)
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Main Details
Name
Christopher Rural Health Planning Corp
Subdivision Name
Rea Clinic - Du Quoin
Type
HRSA-Funded Health Center
Site ID
BPS-H80-018327
340B ID
CH05213Y
Grant Number
H80CS00726
Additional Details
Current Program Status
Active
Registration Date
1/3/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/4/2018
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Christopher Rural Health Planning Corporation
KIMBERLY A. MITROKA, PRESIDENT/CEO
(618) 724-2436 Ext: 1602
Primary Contact
CRHPC
Merideth Rogers, Pharmacy Director
(618) 724-1630
Addresses
Street Address
1564 South Washington Street
Du Quoin, IL 62832
Billing Address
CHRISTOPHER RURAL HEALTH PLANNING CORPORATION
P.O. BOX 155
CHRISTOPHER, IL 62822
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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