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ABN HEALTHCARE, INC.
RWI606162 Alliance Care 360
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Covered Entity Details
Entity Name
Alliance Care 360
Subdivision Name
Type
Ryan White Part A
340B ID
RWI606162
Entity Address
2929 S Wabash Avenue,
Suite
202
Chicago, IL 60616-3243
Grant Number
H89HA00008
Participating Start Date
7/1/2018
Last Recertification Date
2/3/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
ABN HEALTHCARE, INC.
Pharmacy Address
DBA: XCELRX
150 FENCL LN
SUITE 2B
HILLSIDE, IL 60162
Pharmacy Comments
Contract Details
Approval Date
7/8/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Pharmacy closed
Contacts
Covered Entity Signing Official
Ariq Cabbler, Director
(312) 808-1044 Ext: 101
Contract Pharmacy Representative
United/XCel-Rx, LLC
Chuck Benain, Chief Operating Officer
(708) 449-7600 Ext: 373
Signed By Date
7/8/2020
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