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MEDICATE CENTRAL PHARMACY
CH05332AI SIHF Healthcare
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Covered Entity Details
Entity Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - West Belleville
Type
HRSA-Funded Health Center
340B ID
CH05332AI
Entity Address
7210 W Main St
Belleville, IL 62223-3038
Grant Number
H80CS00195
Participating Start Date
10/1/2004
Last Recertification Date
2/22/2025
Pharmacy Details
Pharmacy Name
MEDICATE CENTRAL PHARMACY
Pharmacy Address
1833 KINGSHIGHWAY
SUITE 100
WASHINGTON PARK, IL 62204-2135
Pharmacy Comments
Contract Details
Approval Date
6/21/2012
Contract Begin Date
6/21/2012
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Larry McCulley, President
(618) 332-0694 Ext: 155
Contract Pharmacy Representative
Michael Schaltenbrand, Owner
(618) 709-7520
Signed By Date
6/6/2012
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