340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VITAL RX, LLC
RWII61265A The Project of the Quad Cities
Print
Covered Entity Details
Entity Name
The Project of the Quad Cities
Subdivision Name
Type
Ryan White Part B
340B ID
RWII61265A
Entity Address
4101 John Deere Road
Moline, IL 61265
Grant Number
X09HA32739
Participating Start Date
10/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
VITAL RX, LLC
Pharmacy Address
3110 W BELMONT AVE STE 1W
CHICAGO, IL 60618
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
4/27/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Andrea Jo Meirick, Executive Director
(309) 762-5433
Contract Pharmacy Representative
Vital RX
Anup Doshi, President
(773) 862-1699
Signed By Date
4/14/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session