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BOGARD DRUGS INC #5
CH051833B Heartland Community Health Clinic DBA: Heartland Health Services
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Covered Entity Details
Entity Name
Heartland Community Health Clinic DBA: Heartland Health Services
Subdivision Name
Human Service Center
Type
HRSA-Funded Health Center
340B ID
CH051833B
Entity Address
228 NE Jefferson Avenue
Peoria, IL 61603
Grant Number
H80CS02457
Participating Start Date
10/1/2011
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BOGARD DRUGS INC #5
Pharmacy Address
1102 S WESTERN AVE
PEORIA, IL 61605
Pharmacy Comments
Contract Details
Approval Date
4/1/2004
Contract Begin Date
12/12/2011
Carve-In Effective Date
Contract Comments
3/22/10 TERMINATING SITE AT REQUEST OF ENTITY; Contract reinstated 12/12/2011
Contract Termination Date
Termination Reason
9/25/2017
Agreement registered in error
Contacts
Covered Entity Signing Official
Farrell Davies, CEO
(309) 680-7600
Contract Pharmacy Representative
Annette Nimmo, COO
(309) 637-4487
Signed By Date
12/2/2011
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