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WALGREEN CO.
CH05214D HENDERSON COUNTY RURAL HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
HENDERSON COUNTY RURAL HEALTH CENTER, INC.
Subdivision Name
Eagle View Community Health System - Stronghurst Location
Type
HRSA-Funded Health Center
340B ID
CH05214D
Entity Address
101 S Division St
Stronghurst, IL 61480-5033
Grant Number
H80CS00192
Participating Start Date
1/1/2008
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #11881
600 N MAIN ST
MONMOUTH, IL 61462
Pharmacy Comments
Contract Details
Approval Date
10/15/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melinda Whiteman, Executive Director
(309) 867-2734
Contract Pharmacy Representative
Ebony C. Jefferson, Pharmacy Representative
(847) 964-8724
Signed By Date
10/15/2016
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