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SURECARE 2 INC.
CHC24103-00 Esperanza Health Centers
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Covered Entity Details
Entity Name
Esperanza Health Centers
Subdivision Name
Esperanza California
Type
HRSA-Funded Health Center
340B ID
CHC24103-00
Entity Address
2001 S California Ave STE 100
Chicago, IL 60608-2486
Grant Number
H80CS24103
Participating Start Date
4/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SURECARE 2 INC.
Pharmacy Address
DBA SURECARE PHARMACY CHICAGO
4104 W 63RD ST
CHICAGO, IL 60629
Pharmacy Comments
Contract Details
Approval Date
10/3/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Gadia, CFO
(773) 640-5792
Contract Pharmacy Representative
CH059300
RACHIT SHAH, PHARMACIST IN CHARGE
(732) 910-2949
Signed By Date
10/3/2022
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