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CH04327AS Eau Claire Cooperative Health Center (Active)
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Main Details
Name
Eau Claire Cooperative Health Center
Subdivision Name
Little Mountain Pediatric and Family Practice
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028162
340B ID
CH04327AS
Grant Number
H80CS00730
Additional Details
Current Program Status
Active
Registration Date
10/15/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/15/2019
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
99 N Mill St
Little Mountain, SC 29075-8788
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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