340B Drug Pricing Program Database

Pharmacy Name

INDEPENDENCE HOLDING CO LLC

Pharmacy Address

DBA COMPLETE CARE PHARMACY
14 E WASHINGTON ST. SUITE C
CHAMPAIGN, IL 61820

Pharmacy Comments

Approval Date

8/16/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/30/2019
Pharmacy closed

Covered Entity Signing Official


Contract Pharmacy Representative

Bruce Strike, Pharmacy Manager
(217) 355-6607

Signed By Date