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UNITED/XCEL-RX LLC
HV50252 Life Is Work
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Covered Entity Details
Entity Name
Life Is Work
Subdivision Name
Type
Ryan White Part C
340B ID
HV50252
Entity Address
5463 W Chicago Avenue
Chicago, IL 60651
Grant Number
6 P06HA50252-01-01
Participating Start Date
7/1/2024
Last Recertification Date
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
UNITED/XCEL-RX LLC
Pharmacy Address
150 FENCL LN STE 2B
HILLSIDE, IL 60162-2041
Pharmacy Comments
Contract Details
Approval Date
4/29/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2024
Agreement registered in error
Contacts
Covered Entity Signing Official
Zahara Bassett, CEO
(312) 796-6020 Ext: 100
Contract Pharmacy Representative
UNITED/XCEL-RX LLC
Tina Anatolitis, Pharmacy Manager
(708) 564-5052
Signed By Date
4/12/2024
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