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VITAL RX, LLC
CH051750 ACCESS COMMUNITY HEALTH NETWORK
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Covered Entity Details
Entity Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ADMINISTRATIVE OFFICES
Type
HRSA-Funded Health Center
340B ID
CH051750
Entity Address
600 W Fulton
STE 300
CHICAGO, IL 60661
Grant Number
H80CS00834
Participating Start Date
7/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
VITAL RX, LLC
Pharmacy Address
3110 W BELMONT AVE STE 1W
CHICAGO, IL 60618
Pharmacy Comments
Contract Details
Approval Date
1/21/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DONNA THOMPSON, CEO
(312) 526-2051
Contract Pharmacy Representative
Vital RX
Anup Doshi, President
(773) 862-1699
Signed By Date
1/21/2019
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