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SCHNUCKS PHARMACY #399
CH05849F ECHO COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
ECHO COMMUNITY HEALTH CARE, INC.
Subdivision Name
ECHO Community Health Care, Inc. Mulberry Street Clinic
Type
HRSA-Funded Health Center
340B ID
CH05849F
Entity Address
315 Mulberry St
Evansville, IN 47713
Grant Number
H80CS00199
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
SCHNUCKS PHARMACY #399
Pharmacy Address
12921 ENTERPRISE WAY
BRIDGETON, MO 63044-1206
Pharmacy Comments
Contract Details
Approval Date
7/13/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/5/2020
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sandee Strader-McMillen, CEO
(812) 421-7489 Ext: 2215
Contract Pharmacy Representative
Schnuck's Pharmacy
David Chism, Director of Pharmacy
(314) 344-9636
Signed By Date
7/13/2017
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