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HEENA VITAL RX, INC
CHC29004-00 HOWARD BROWN HEALTH CENTER
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Covered Entity Details
Entity Name
HOWARD BROWN HEALTH CENTER
Subdivision Name
Howard Brown Health Center-Clark
Type
HRSA-Funded Health Center
340B ID
CHC29004-00
Entity Address
6500 N Clark St
Chicago, IL 60626-4002
Grant Number
H80CS29004
Participating Start Date
4/1/2016
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HEENA VITAL RX, INC
Pharmacy Address
DBA VITAL SPECIALTY PHARMACY
1525 E 55TH ST STE 103
CHICAGO, IL 60615-5514
Pharmacy Comments
Contract Details
Approval Date
12/21/2020
Contract Begin Date
12/21/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anthony Scott Armstrong, Vice President of Strategy and Business Development
(407) 765-5579
Contract Pharmacy Representative
Vital RX
Anup Doshi, President
(773) 862-1699
Signed By Date
12/21/2020
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