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ENCORE PHARMACY #1
CH05190B Heartland Alliance Health, Inc.
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Covered Entity Details
Entity Name
Heartland Alliance Health, Inc.
Subdivision Name
HEARTLAND ALLIANCE HEALTH - ENGLEWOOD
Type
HRSA-Funded Health Center
340B ID
CH05190B
Entity Address
5501 S HALSTED ST
CHICAGO, IL 60621-2229
Grant Number
H80CS00111
Participating Start Date
7/1/2018
Last Recertification Date
1/29/2024
Pharmacy Details
Pharmacy Name
ENCORE PHARMACY #1
Pharmacy Address
800 8TH AVE STE 130
FORT WORTH, TX 76104
Pharmacy Comments
Contract Details
Approval Date
5/3/2022
Contract Begin Date
5/4/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ed Stellon, Executive Director
(773) 751-4109
Contract Pharmacy Representative
Encore Pharmacy
SANDRA VALDEZ, 340B Account Manager
(210) 788-9625
Signed By Date
5/3/2022
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