Contract Pharmacy Details

CROWDERS UPTOWN DRUG STORE
CHC33650-06 SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC

Covered Entity Details

Entity Name

SOUTHERN INDIANA COMMUNITY HEALTH CARE, INC

Subdivision Name

SICHC Mitchell

Type

HRSA-Funded Health Center

340B ID

CHC33650-06

Entity Address

2759 IN-37
Mitchell, IN 47446-6016

Grant Number

H80CS33650

Participating Start Date

7/1/2025

Last Recertification Date

Pharmacy Details

Pharmacy Name

CROWDERS UPTOWN DRUG STORE

Pharmacy Address

631 16TH ST
P.O. BOX 966
BEDFORD, IN 47421-3818

Pharmacy Comments

Contract Details

Approval Date

4/15/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Nancy Radcliff, CEO
(812) 723-3944

Contract Pharmacy Representative

Crowders Pharmacy
Steve Anderson, Owner
(812) 583-2868

Signed By Date

4/8/2025

340B Drug Pricing Program Database