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GREENWOOD DRUG, INC
CH071410 PEOPLES COMMUNITY HEALTH CLINIC, INC.
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Covered Entity Details
Entity Name
PEOPLES COMMUNITY HEALTH CLINIC, INC.
Subdivision Name
PEOPLES COMMUNITY HEALTH CLINIC
Type
HRSA-Funded Health Center
340B ID
CH071410
Entity Address
905 Franklin St
Waterloo, IA 50703-4407
Grant Number
H80CS00815
Participating Start Date
12/1/1992
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
GREENWOOD DRUG, INC
Pharmacy Address
GREENWOOD COMPLIANCE PHARMACY
2104 KIMBALL AVE STE B
WATERLOO, IA 50702-5037
Pharmacy Comments
Contract Details
Approval Date
1/5/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christine Kemp, CEO
(319) 874-3311
Contract Pharmacy Representative
Greenwood Pharmacy
Bob Greenwood, Owner
(319) 234-6673
Signed By Date
1/5/2022
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