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BUTT DRUGS, INC.
CHC33650-02 SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
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Covered Entity Details
Entity Name
SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC
Subdivision Name
SICHC West Baden
Type
HRSA-Funded Health Center
340B ID
CHC33650-02
Entity Address
8163 W State Road 56 Ste A
West Baden Springs, IN 47469-7706
Grant Number
H80CS33650
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
BUTT DRUGS, INC.
Pharmacy Address
115 E CHESTNUT ST
CORYDON, IN 47112-1105
Pharmacy Comments
Contract Details
Approval Date
2/28/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Nancy Radcliff, CEO
(812) 723-3944
Contract Pharmacy Representative
Butt Drugs
Katie Butt Beckort, Owner/Pharmacist
(812) 283-3591
Signed By Date
2/27/2020
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