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SAV-RX PHARMACY
CHC29457-00 COVERED BRIDGE HEALTHCARE OF ST. JOSEPH COUNTY, INC.
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Covered Entity Details
Entity Name
COVERED BRIDGE HEALTHCARE OF ST. JOSEPH COUNTY, INC.
Subdivision Name
Covered Bridge Healthcare of St. Joseph County, Inc.
Type
HRSA-Funded Health Center
340B ID
CHC29457-00
Entity Address
658 E Main St
Centreville, MI 49032
Grant Number
H80CS29457
Participating Start Date
1/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
SAV-RX PHARMACY
Pharmacy Address
A & A DRUG CO
1855 N AIRPORT RD
FREMONT, NE 68025
Pharmacy Comments
Contract Details
Approval Date
12/27/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Rick Shaffer, Executive Director
(269) 467-3228 Ext: 231
Contract Pharmacy Representative
Walter Hoff, CFO
(404) 229-3301
Signed By Date
12/27/2016
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