340B Drug Pricing Program Database
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CH05306AT Sixteenth Street Community Health Centers, Inc. (Active)
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Main Details
Name
Sixteenth Street Community Health Centers, Inc.
Subdivision Name
Sixteenth Street Community Health Centers-Layton
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021953
340B ID
CH05306AT
Grant Number
H80CS00593
Additional Details
Current Program Status
Active
Registration Date
4/10/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/19/2018
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Sixteenth Street Community Health Centers
Liz Claudio, Vice President, Operations
(414) 897-5165
Primary Contact
Sixteenth Street Community Health Centers
Jason A Jenders, Director of Pharmacy
(414) 897-5497
Addresses
Street Address
4570 S 27th St
Milwaukee, WI 53221-2145
Billing Address
Sixteenth Street Community Health Centers
1337 S CESAR E. CHAVEZ DRIVE
Milwaukee, WI 53219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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