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PRESENCE NAZARETH FAMILY CENTER
CHC00341-00 PRIMECARE COMMUNITY HEALTH INC
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Covered Entity Details
Entity Name
PRIMECARE COMMUNITY HEALTH INC
Subdivision Name
PRIMECARE WEST TOWN
Type
HRSA-Funded Health Center
340B ID
CHC00341-00
Entity Address
1431 N Western Ave
Ste 406
Chicago, IL 60622
Grant Number
H80CS00341
Participating Start Date
4/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
PRESENCE NAZARETH FAMILY CENTER
Pharmacy Address
PHARMACY
1127 N. OAKLEY BLVD
CHICAGO, IL 60622
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Michael C Holtrop, Chief Financial Officer
(616) 482-9892
Contract Pharmacy Representative
340Basics
Jodie Baldwin, Account Manager
(856) 639-4077
Signed By Date
1/17/2023
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