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MEXICARE INC.
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
MEXICARE INC.
Pharmacy Address
3200 W 26TH ST
CHICAGO, IL 60623-4031
Pharmacy Comments
Contract Details
Approval Date
1/27/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/9/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DONNA THOMPSON, CEO
(312) 526-2051
Contract Pharmacy Representative
Mexicare Pharmacy
Jawad Hamdan, President
(312) 465-2999
Signed By Date
1/27/2020
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