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MARTINS PHARMACY
CH05332Z SIHF Healthcare
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Covered Entity Details
Entity Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - Effingham
Type
HRSA-Funded Health Center
340B ID
CH05332Z
Entity Address
900 W Temple Ave - Suite 208
Effingham, IL 62401-2187
Grant Number
H80CS00195
Participating Start Date
4/1/2008
Last Recertification Date
2/22/2025
Pharmacy Details
Pharmacy Name
MARTINS PHARMACY
Pharmacy Address
101 S MERCHANT
EFFINGHAM, IL 62401
Pharmacy Comments
Contract Details
Approval Date
3/1/2009
Contract Begin Date
3/1/2009
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
2/12/2009
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