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WILLIAMS BROS HEALTH CARE PHARMACY
CHC28353-00 LifeSpring Inc.
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Covered Entity Details
Entity Name
LifeSpring Inc.
Subdivision Name
LifeSpring Community Medical Services
Type
HRSA-Funded Health Center
340B ID
CHC28353-00
Entity Address
1036 SHARON DR
JEFFERSONVILLE, IN 47130-4522
Grant Number
H80CS28353
Participating Start Date
10/1/2015
Last Recertification Date
3/12/2025
Pharmacy Details
Pharmacy Name
WILLIAMS BROS HEALTH CARE PHARMACY
Pharmacy Address
10 W. MAIN ST
AUSTIN, IN 47102-1304
Pharmacy Comments
Contract Details
Approval Date
7/5/2022
Contract Begin Date
7/11/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Beth Keeney, President/CEO
(812) 206-1362
Contract Pharmacy Representative
Williams Bothers Health Care Pharmacy,Inc
JD Faulkner, Regional Pharmacy Manager
(812) 887-6945
Signed By Date
7/5/2022
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