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FISHER PHARMACY
CH05332G SIHF Healthcare
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Covered Entity Details
Entity Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - Centreville
Type
HRSA-Funded Health Center
340B ID
CH05332G
Entity Address
6000 BOND AVE
Centreville, IL 62207-2328
Grant Number
H80CS00195
Participating Start Date
7/1/2001
Last Recertification Date
2/22/2025
Pharmacy Details
Pharmacy Name
FISHER PHARMACY
Pharmacy Address
B & D CORPORATION
2007 CAMP JACKSON ROAD
CAHOKIA, IL 62206
Pharmacy Comments
Contract Details
Approval Date
11/1/2004
Contract Begin Date
11/1/2004
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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