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HY-VEE PHRM CLINIC 1549
CH07117W COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CARE, INC.
Subdivision Name
Community Health Care, Inc. - Robert Young Center
Type
HRSA-Funded Health Center
340B ID
CH07117W
Entity Address
2200 3rd Ave
Rock Island, IL 61201
Grant Number
H80CS00670
Participating Start Date
10/1/2013
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
HY-VEE PHRM CLINIC 1549
Pharmacy Address
2930 18TH AVE
ROCK ISLAND, IL 61201
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Thomas Bowman, CEO
(563) 336-3112
Contract Pharmacy Representative
Hy-Vee, Inc
Ashley Plum, 340B Coordinator
(515) 559-5708
Signed By Date
1/17/2023
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