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PULSE PHARMACY INC.
CH05103C TCA HEALTH, INC. NFP
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Covered Entity Details
Entity Name
TCA HEALTH, INC. NFP
Subdivision Name
TCA Health- Chatham
Type
HRSA-Funded Health Center
340B ID
CH05103C
Entity Address
8425 S Cottage Grove Ave
Chicago, IL 60619-6113
Grant Number
H80CS00109
Participating Start Date
4/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
PULSE PHARMACY INC.
Pharmacy Address
2875 W 19TH ST STE 201
CHICAGO, IL 60623-3501
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/17/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
VERONICA CLARKE, CEO
(773) 995-6300 Ext: 213
Contract Pharmacy Representative
Bienestar Pharmacy
Snejal Bhavsar, Senior Associate
(630) 452-3938
Signed By Date
4/15/2020
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