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MEIJER STORES LIMITED PARTNERSHIP
CH05849F ECHO COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
ECHO COMMUNITY HEALTH CARE, INC.
Subdivision Name
ECHO Community Health Care, Inc. Mulberry Street Clinic
Type
HRSA-Funded Health Center
340B ID
CH05849F
Entity Address
315 Mulberry St
Evansville, IN 47713
Grant Number
H80CS00199
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
MEIJER STORES LIMITED PARTNERSHIP
Pharmacy Address
D/B/A MEIJER PHARMACY #463
1515 PROFIT DR.
FORT WAYNE, IN 46808
Pharmacy Comments
Contract Details
Approval Date
4/13/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sandee Strader-McMillen, CEO
(812) 421-7489 Ext: 2215
Contract Pharmacy Representative
Meijer
Kevin Hurn, Dir, Pharmacy Procurement and New Business
(616) 791-5185
Signed By Date
4/13/2018
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