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B & D PHARMACY
CH05332N SIHF Healthcare
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Covered Entity Details
Entity Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - Bethalto
Type
HRSA-Funded Health Center
340B ID
CH05332N
Entity Address
2 Terminal Drive - Suite 8
East Alton, IL 62024-2201
Grant Number
H80CS00195
Participating Start Date
7/1/2001
Last Recertification Date
2/22/2025
Pharmacy Details
Pharmacy Name
B & D PHARMACY
Pharmacy Address
1 PROFESSIONAL DRIVE
SUITE 170
ALTON, IL 62002-5068
Pharmacy Comments
Contract Details
Approval Date
12/1/2005
Contract Begin Date
12/1/2005
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
11/28/2005
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