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NRS PHARMACIES OF INDIANA LLC
STD47374 Wayne, County of
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Covered Entity Details
Entity Name
Wayne, County of
Subdivision Name
Wayne County Health Department
Type
Sexually Transmitted Diseases
340B ID
STD47374
Entity Address
100 S. 5th Street
Richmond, IN 47374
Grant Number
NH25PS005139
Participating Start Date
7/1/2018
Last Recertification Date
5/5/2025
Pharmacy Details
Pharmacy Name
NRS PHARMACIES OF INDIANA LLC
Pharmacy Address
DBA MEDICENTER ALTERNATE CARE PHARMACY
100 W MAIN ST
CAMBRIDGE CITY, IN 47327
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christine Marie Stinson, Executive Director
(765) 973-9368
Contract Pharmacy Representative
Medicine Shoppe #1633
Eric Schreiber, Owner
(417) 866-3054
Signed By Date
10/12/2023
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