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DALE'S SOUTHLAKE PHARMACY
CH053150 COMMUNITY HEALTH IMPROVEMENT CENTER
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Covered Entity Details
Entity Name
COMMUNITY HEALTH IMPROVEMENT CENTER
Subdivision Name
COMMUNITY HEALTH IMPROVEMENT CENTER
Type
HRSA-Funded Health Center
340B ID
CH053150
Entity Address
320 East Central Avenue
Decatur, IL 62521-4665
Grant Number
H80CS00681
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
DALE'S SOUTHLAKE PHARMACY
Pharmacy Address
245 W 1ST DR STE B
LAKE OF DECATUR, INC.
DECATUR, IL 62521-5381
Pharmacy Comments
Contract Details
Approval Date
9/19/2011
Contract Begin Date
9/19/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/30/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
barbara b. dunn, ceo
(217) 877-6111
Contract Pharmacy Representative
Dale Colee, President
(217) 429-5165
Signed By Date
9/1/2011
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