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BRIGHTON PHARMACY
CHC22690-00 MACOUPIN, COUNTY OF
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Covered Entity Details
Entity Name
MACOUPIN, COUNTY OF
Subdivision Name
Macoupin County Maple Street Clinic
Type
HRSA-Funded Health Center
340B ID
CHC22690-00
Entity Address
109 E Maple St
Gillespie, IL 62033-1473
Grant Number
H80CS22690
Participating Start Date
7/1/2012
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
BRIGHTON PHARMACY
Pharmacy Address
JSP PHARMACY, LLC
908 N MAIN ST
PO BOX 788
BRIGHTON, IL 62012-1050
Pharmacy Comments
Contract Details
Approval Date
4/13/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/11/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Kent Tarro, CEO
(217) 825-6705
Contract Pharmacy Representative
Brighton Pharmacy
Judith Peipert, Owner
(618) 558-0303
Signed By Date
4/13/2020
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