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ACCREDO HEALTH GROUP INC
CH051833L Heartland Community Health Clinic DBA Heartland Health Services - Olt
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Covered Entity Details
Entity Name
Heartland Community Health Clinic DBA Heartland Health Services - Olt
Subdivision Name
Heartland Health Services - Olt
Type
HRSA-Funded Health Center
340B ID
CH051833L
Entity Address
19 Olt Ave
Pekin, IL 61554
Grant Number
H80CS02457
Participating Start Date
1/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
ACCREDO HEALTH GROUP INC
Pharmacy Address
1620 CENTURY CENTER PKWY
# 109
MEMPHIS, TN 38134-8849
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dewitt Harrell, CEO
(309) 680-7657
Contract Pharmacy Representative
Accredo
Diana Florio, 340B Managing Director
(407) 988-7044
Signed By Date
4/14/2025
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