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MEDWIZ SPECIALTY PHARMACY LLC
CH051750 ACCESS COMMUNITY HEALTH NETWORK
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Covered Entity Details
Entity Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ADMINISTRATIVE OFFICES
Type
HRSA-Funded Health Center
340B ID
CH051750
Entity Address
600 W Fulton
STE 300
CHICAGO, IL 60661
Grant Number
H80CS00834
Participating Start Date
7/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
MEDWIZ SPECIALTY PHARMACY LLC
Pharmacy Address
940 S FRONTAGE RD STE 500
WOODRIDGE, IL 60517-5035
Pharmacy Comments
Contract Details
Approval Date
1/18/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DONNA THOMPSON, CEO
(312) 526-2051
Contract Pharmacy Representative
MedWiz Specialty Pharmacy, LLC
Shqipe Osmani, Director of Strategy
(630) 580-1700
Signed By Date
1/18/2023
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