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MHG PHARMACY SERVICES, LLC
RWII60623 Project Vida
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Covered Entity Details
Entity Name
Project Vida
Subdivision Name
Type
Ryan White Part B
340B ID
RWII60623
Entity Address
2659 South Kedvale Ave
Chicago, IL 60623
Grant Number
X07HA00013
Participating Start Date
1/1/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
MHG PHARMACY SERVICES, LLC
Pharmacy Address
UPGRADE PHARMACY #100
2340 S HIGHLAND AVE STE 140
LOMBARD, IL 60148
Pharmacy Comments
Contract Details
Approval Date
7/8/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jerome Montgomery, Executive Director
(773) 426-5997
Contract Pharmacy Representative
Upgrade Pharmacy
Mehul Khakhkhar, Pharmacy Manager
(708) 533-5584
Signed By Date
7/8/2021
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