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MHG PHARMACY SERVICES, LLC
RWII60435 Agape Missions, NFP
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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
MHG PHARMACY SERVICES, LLC
Pharmacy Address
UPGRADE PHARMACY #100
2340 S HIGHLAND AVE STE 140
LOMBARD, IL 60148
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
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