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MHG PHARMACY SERVICES, LLC
RWI606163 Men & Women In Prison Ministries
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Covered Entity Details
Entity Name
Men & Women In Prison Ministries
Subdivision Name
Case Management
Type
Ryan White Part A
340B ID
RWI606163
Entity Address
10 W. 35th St.
9th floor
Chicago, IL 60616
Grant Number
H89HA00008
Participating Start Date
10/1/2023
Last Recertification Date
2/7/2024
Entity Termination Date
1/1/2025
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
7/31/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Doris J Green, CEO
(773) 391-9085
Contract Pharmacy Representative
Upgrade Pharmacy
Mehul Khakhkhar, Pharmacy Manager
(708) 533-5584
Signed By Date
7/13/2023
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