Contract Pharmacy Details

FISHER PHARMACY
CH053320 SIHF Healthcare

Covered Entity Details

Entity Name

SIHF Healthcare

Subdivision Name

SIHF Healthcare

Type

HRSA-Funded Health Center

340B ID

CH053320

Entity Address

2041 Goose Lake Rd,
Sauget, IL 62206-2822

Grant Number

H80CS00195

Participating Start Date

7/1/2001

Last Recertification Date

2/26/2025

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

Contract Termination Date
Termination Reason

7/1/2016
Pharmacy closed

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

340B Drug Pricing Program Database