Contract Pharmacy Details

UPGRADE PHARMACY INC
RWII60435 Agape Missions, NFP

Covered Entity Details

Entity Name

Agape Missions, NFP

Subdivision Name

Type

Ryan White Part B

340B ID

RWII60435

Entity Address

840 Plainfield Road
Joliet, IL 60435

Grant Number

X07HA00013

Participating Start Date

1/1/2020

Last Recertification Date

2/19/2025

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

1/17/2023

Contract Begin Date

4/1/2023

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Jill Ann Skole, CEO
(815) 723-1548 Ext: 201

Contract Pharmacy Representative

Upgrade Pharmacy
Mehul Khakhkhar, Pharmacy Manager
(708) 533-5584

Signed By Date

1/17/2023

340B Drug Pricing Program Database