340B Drug Pricing Program Database
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RWII606401 TPA Network (Active)
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Main Details
Name
TPA Network
Subdivision Name
Type
Ryan White Part B
340B ID
RWII606401
Grant Number
X07HA00013
Additional Details
Current Program Status
Active
Registration Date
1/13/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/20/2020
Last Recertification Date
2/23/2025
Time Period the Assistance was Received
4/1/2024 - 3/31/2026
Contacts
Authorizing Official
Vivent Health
Timothy Denis Dyer, Executive Vice President & CFO
(414) 225-1542
Primary Contact
Vivent Health
Daniel Guinn, VP Compliance & General Counsel
(608) 316-8602
Addresses
Street Address
5537 North Broadway
Chicago, IL 60640
Billing Address
TPA Network
1311 N 6th Street
Milwaukee, WI 53212
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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