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UPGRADE PHARMACY INC
RWI60422 Proactive Community Services
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Covered Entity Details
Entity Name
Proactive Community Services
Subdivision Name
Type
Ryan White Part A
340B ID
RWI60422
Entity Address
19740 Governors Highway
Suite 118
Flossmoor, IL 60422
Grant Number
H89HA00008
Participating Start Date
1/1/2023
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
UPGRADE PHARMACY INC
Pharmacy Address
DBA 303 UPGRADE PHARMACY
303 W LAKE ST STE 302
ADDISON, IL 60101-2586
Pharmacy Comments
Contract Details
Approval Date
11/9/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Eula Burge, Chief Executive Officer/Executive Director
(708) 715-5052
Contract Pharmacy Representative
Upgrade Pharmacy
Mehul Khakhkhar, Pharmacy Manager
(708) 533-5584
Signed By Date
11/3/2022
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