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SOUTH SIDE DRUG INC
CH075660 RIVER HILLS COMMUNITY HEALTH CENTER, Inc
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Covered Entity Details
Entity Name
RIVER HILLS COMMUNITY HEALTH CENTER, Inc
Subdivision Name
River Hills Community Health Center, Inc
Type
HRSA-Funded Health Center
340B ID
CH075660
Entity Address
201 SOUTH MARKET ST
OTTUMWA, IA 52501
Grant Number
H80CS00796
Participating Start Date
4/1/2002
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SOUTH SIDE DRUG INC
Pharmacy Address
SOUTH SIDE DRUG
337 CHURCH ST
OTTUMWA, IA 52501-5250
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lori Miller, CFO
(641) 954-9971 Ext: 1211
Contract Pharmacy Representative
South Side Drug Inc.
Eric Carlson, Mr.
(641) 682-3467
Signed By Date
1/16/2024
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