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JR PHARMACY POPLAR LLC
CHC08776-08 Valley Professionals Community Health Center Inc.
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Covered Entity Details
Entity Name
Valley Professionals Community Health Center Inc.
Subdivision Name
VPCHC - Terre Haute South
Type
HRSA-Funded Health Center
340B ID
CHC08776-08
Entity Address
4757 S 7th St
Terre Haute, IN 47802
Grant Number
H80CS08776
Participating Start Date
10/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
JR PHARMACY POPLAR LLC
Pharmacy Address
1101 POPLAR ST
TERRE HAUTE, IN 47807
Pharmacy Comments
Contract Details
Approval Date
10/6/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TERRY J. WARREN JR., CEO
(765) 828-1003
Contract Pharmacy Representative
Jr Pharmacy
Scott Bowsher, Pharmacist
(765) 569-6900
Signed By Date
10/6/2023
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