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EDS MEDICENTER PHARMACY
CH052130 CHRISTOPHER RURAL HEALTH PLANNING CORP.
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Covered Entity Details
Entity Name
CHRISTOPHER RURAL HEALTH PLANNING CORP.
Subdivision Name
REA CLINIC
Type
HRSA-Funded Health Center
340B ID
CH052130
Entity Address
4241 HWY 14 WEST
CHRISTOPHER, IL 62822
Grant Number
H80CS00726
Participating Start Date
10/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
EDS MEDICENTER PHARMACY
Pharmacy Address
SESSER PHARMACY SI LLC
1116 W MAIN ST
FAIRFIELD, IL 62837-2324
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/23/2020
Ownership change
Contacts
Covered Entity Signing Official
KIMBERLY A. MITROKA, PRESIDENT/CEO
(618) 724-2436 Ext: 1602
Contract Pharmacy Representative
Sesser Pharmacy SI LLC
Don Schreiber, President
(314) 965-4700
Signed By Date
1/12/2018
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