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RASHID PHARMACY PLC
CH077310 COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF SOUTHEASTERN IOWA, INC
Subdivision Name
CHC/SEIA WEST BURLINGTON CLINIC
Type
HRSA-Funded Health Center
340B ID
CH077310
Entity Address
1706 W Agency Rd
West Burlington, IA 52655-1667
Grant Number
H80CS00272
Participating Start Date
1/1/2003
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
RASHID PHARMACY PLC
Pharmacy Address
RASHID RETAIL PHARMACY
2404 AVENUE L
FORT MADISON, IA 52627
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
9/29/2022
Ownership change
Contacts
Covered Entity Signing Official
RONALD KEMP, CEO
(319) 753-2300 Ext: 100
Contract Pharmacy Representative
Rashid Pharmacy
Joseph Rashid, Owner
(319) 372-2300
Signed By Date
10/15/2018
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