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LOGAN PRIMARY PHARMACY
CH05213N CHRISTOPHER RURAL HEALTH PLANNING CORP
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Covered Entity Details
Entity Name
CHRISTOPHER RURAL HEALTH PLANNING CORP
Subdivision Name
REA CLINIC-HERRIN
Type
HRSA-Funded Health Center
340B ID
CH05213N
Entity Address
3303 Logan Dr
Herrin, IL 62948-3732
Grant Number
H80CS00726
Participating Start Date
4/1/2004
Last Recertification Date
2/15/2016
Entity Termination Date
10/1/2016
Pharmacy Details
Pharmacy Name
LOGAN PRIMARY PHARMACY
Pharmacy Address
401 RUSHING DR
HERRIN, IL 62948
Pharmacy Comments
Contract Details
Approval Date
5/5/2010
Contract Begin Date
5/6/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2016
Contacts
Covered Entity Signing Official
KIMBERLY A. MITROKA, PRESIDENT/CEO
(618) 724-2436 Ext: 1602
Contract Pharmacy Representative
Signed By Date
5/3/2010
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