Contract Pharmacy Details

B & D 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

B & D PHARMACY

Pharmacy Address

1 PROFESSIONAL DRIVE
SUITE 170
ALTON, IL 62002-5068

Pharmacy Comments

Contract Details

Approval Date

4/3/2013

Contract Begin Date

7/1/2013

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/17/2017
Pharmacy closed

Contacts

Covered Entity Signing Official

Larry McCulley, President
(618) 332-0694 Ext: 155

Contract Pharmacy Representative

Ken Duchnowski, Owner
(618) 463-0000

Signed By Date

4/3/2013