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MEDI-PARK PHARMACY
CH051833N Heartland Community Health Clinic DBA Heartland Health Services
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Covered Entity Details
Entity Name
Heartland Community Health Clinic DBA Heartland Health Services
Subdivision Name
Tazwood
Type
HRSA-Funded Health Center
340B ID
CH051833N
Entity Address
3248 Vandever Ave Ste B
Pekin, IL 61554
Grant Number
H80CS02457
Participating Start Date
10/1/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MEDI-PARK PHARMACY
Pharmacy Address
420 NE GLEN OAK AVE STE 102
HILLCREST PLAZA
PEORIA, IL 61603-3171
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sharon Adams, Chief Executive Officer
(309) 680-7657
Contract Pharmacy Representative
OSF
Tom Terrell, Pharmacy Manager
(309) 655-3799
Signed By Date
10/16/2023
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