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AURORA PHARMACY
CH050900 LA CLINICA DE LOS CAMPESINOS, INC.
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Covered Entity Details
Entity Name
LA CLINICA DE LOS CAMPESINOS, INC.
Subdivision Name
Noble Community Clinics - Wautoma
Type
HRSA-Funded Health Center
340B ID
CH050900
Entity Address
400 S. Townline Rd
WAUTOMA, WI 54982-1440
Grant Number
H80CS00713
Participating Start Date
4/1/1996
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
AURORA PHARMACY
Pharmacy Address
900 E DIVISION ST
WAUTOMA, WI 54982-6944
Pharmacy Comments
Contract Details
Approval Date
4/11/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Laura Waldvogel, CEO
(920) 787-9406
Contract Pharmacy Representative
Aurora
Patricia Hill, Director of Aurora Pharmacy Operations – North Region
(414) 303-4177
Signed By Date
4/11/2019
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