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IOWA CVS PHARMACY, L.L.C.
CH071410 PEOPLES COMMUNITY HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
PEOPLES COMMUNITY HEALTH CLINIC, INC.
Subdivision Name
PEOPLES COMMUNITY HEALTH CLINIC
Type
HRSA-Funded Health Center
340B ID
CH071410
Entity Address
905 Franklin St
Waterloo, IA 50703-4407
Grant Number
H80CS00815
Participating Start Date
12/1/1992
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
IOWA CVS PHARMACY, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08546
205 FRANKLIN STREET
WATERLOO, IA 50703
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/31/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Christine Kemp, CEO
(319) 874-3311
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2018
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