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BRIDGE HEALTHCARE PHARMACY LLC
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
BRIDGE HEALTHCARE PHARMACY LLC
Pharmacy Address
658 E MAIN ST
SUITE 1
CENTREVILLE, MI 49032-9627
Pharmacy Comments
Contract Details
Approval Date
10/3/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Rick Shaffer, Executive Director
(269) 467-3228 Ext: 231
Contract Pharmacy Representative
Bridge Healthcare Pharmacy LLC
Chris Rousch, Administrator
(269) 467-3510
Signed By Date
10/3/2017
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