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BODE DRUG
CH052180 RURAL HEALTH, INC.
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Covered Entity Details
Entity Name
RURAL HEALTH, INC.
Subdivision Name
ANNA MEDICAL CLINIC
Type
HRSA-Funded Health Center
340B ID
CH052180
Entity Address
513 NORTH MAIN STREET
ANNA, IL 62906
Grant Number
H80CS00711
Participating Start Date
10/1/1998
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
BODE DRUG
Pharmacy Address
211 MAIN ST
P.O. BOX 110
MOUND CITY, IL 62963-0110
Pharmacy Comments
Contract Details
Approval Date
10/11/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cindy Flamm, CEO
(618) 833-4471 Ext: 1015
Contract Pharmacy Representative
BODE DRUG
Carl Bode, Owner
(618) 658-3784
Signed By Date
10/11/2022
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