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MEIJER PHARMACY #295
CHC02456-05 WINDROSE HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
WINDROSE HEALTH NETWORK, INC.
Subdivision Name
Windrose Health Network - Whiteland
Type
HRSA-Funded Health Center
340B ID
CHC02456-05
Entity Address
8 U.S. 31 North
Whiteland, IN 46184
Grant Number
H80CS02456
Participating Start Date
1/1/2018
Last Recertification Date
1/29/2020
Entity Termination Date
1/1/2021
Pharmacy Details
Pharmacy Name
MEIJER PHARMACY #295
Pharmacy Address
2390 N. MORTON STREET
FRANKLIN, IN 46131
Pharmacy Comments
Contract Details
Approval Date
10/1/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Scott K Rollett, CEO
(317) 739-4895 Ext: 2401
Contract Pharmacy Representative
Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185
Signed By Date
10/1/2019
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