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M AND D PHARMACY, LLC
CHC08777-00 COUNTY OF CASS
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Covered Entity Details
Entity Name
COUNTY OF CASS
Subdivision Name
CASS COUNTY HEALTH DEPARTMENT
Type
HRSA-Funded Health Center
340B ID
CHC08777-00
Entity Address
331 S Main St
Virginia, IL 62691-1519
Grant Number
H80CS08777
Participating Start Date
1/1/2010
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
M AND D PHARMACY, LLC
Pharmacy Address
DBA: MORELAND AND DEVITT PHARMACY
201 S STATE ST
BEARDSTOWN, IL 62618
Pharmacy Comments
Contract Details
Approval Date
10/6/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Teresa Armstrong, ADMINISTRATOR
(217) 452-3057
Contract Pharmacy Representative
garry moreland, owner
(255) 254-2354
Signed By Date
10/6/2015
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