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ELFMAN PHARMACY INC
CH05175AP ACCESS COMMUNITY HEALTH NETWORK
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Covered Entity Details
Entity Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS Centro Medico San Rafael
Type
HRSA-Funded Health Center
340B ID
CH05175AP
Entity Address
3204 W 26th St
Chicago, IL 60623-4031
Grant Number
H80CS00834
Participating Start Date
7/1/2003
Last Recertification Date
1/31/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
ELFMAN PHARMACY INC
Pharmacy Address
3202 W. NORTH AVENUE
CHICAGO, IL 60647
Pharmacy Comments
Contract Details
Approval Date
7/30/2010
Contract Begin Date
7/31/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/3/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DONNA THOMPSON, CEO
(312) 526-2051
Contract Pharmacy Representative
ARNOLD L. EINBINDER, OWNER & PHARMACIST
Signed By Date
7/14/2010
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