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BIENESTAR PHARMACY
CHC29004-14 Howard Brown Health Center
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Covered Entity Details
Entity Name
Howard Brown Health Center
Subdivision Name
Howard Brown Health 55th Street
Type
HRSA-Funded Health Center
340B ID
CHC29004-14
Entity Address
5500 S Lake Park Ave Fl 1
Chicago, IL 60637-1917
Grant Number
H80CS29004
Participating Start Date
1/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
BIENESTAR PHARMACY
Pharmacy Address
BIENESTAR PHARMACY
966 W. 21ST ST
STE 104
CHICAGO, IL 60608
Pharmacy Comments
Contract Details
Approval Date
10/11/2022
Contract Begin Date
1/1/2023
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
Bienestar Pharmacy
Snejal Bhavsar, Senior Associate
(630) 452-3938
Signed By Date
10/11/2022
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