Pharmacy Details

HEENA VITAL RX, INC - information as of 6/15/2025 6:30:12 AM

Name
HEENA VITAL RX, INC

Address

DBA VITAL SPECIALTY PHARMACY
1525 E 55TH ST STE 103
CHICAGO, IL 60615-5514

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CHC29004-00	HOWARD BROWN HEALTH CENTER	Howard Brown Health Center-Clark	HRSA-Funded Health Center	6500 N Clark St		Chicago	IL	12/21/2020		12/21/2020 4:26 PM
Details	CHC29004-05	HOWARD BROWN HEALTH CENTER	Howard Brown Health 55th Street	HRSA-Funded Health Center	1525 E 55th St	Ste 201	Chicago	IL	01/01/2023		1/1/2023 12:01 AM
Details	STD60615	Brave Space Alliance		Sexually Transmitted Diseases	1515 E. 52nd pl		chicago	IL	07/01/2025		4/8/2025 2:04 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				12/18/2020 4:27 PM
Details	Is Deleted	Insert			False	12/18/2020 4:27 PM
Addresses	Pharmacy Address	Insert			HEENA VITAL RX, INC DBA VITAL SPECIALTY PHARMACY 1525 E 55TH ST STE 103 CHICAGO, IL 60615-5514	12/18/2020 4:27 PM
Details	Name	Insert			HEENA VITAL RX, INC	12/18/2020 4:27 PM