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SURECARE DISCOUNT PHARMACY INC
CHC24103-01 Esperanza Health Centers
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Covered Entity Details
Entity Name
Esperanza Health Centers
Subdivision Name
Esperanza California, Suite 101
Type
HRSA-Funded Health Center
340B ID
CHC24103-01
Entity Address
2001 S. California Ave. STE 101
Chicago, IL 60608-2405
Grant Number
H80CS24103
Participating Start Date
4/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SURECARE DISCOUNT PHARMACY INC
Pharmacy Address
DBA:SURECARE PHARMACY IL
4700 S CALIFORNIA AVE
CHICAGO, IL 60632
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Gadia, CFO
(773) 640-5792
Contract Pharmacy Representative
CH059300
RACHIT SHAH, PHARMACIST IN CHARGE
(732) 910-2949
Signed By Date
10/13/2023
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