340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BIENESTAR PHARMACY III INC.
CH05662L ALIVIO MEDICAL CENTER, INC
Print
Covered Entity Details
Entity Name
ALIVIO MEDICAL CENTER, INC
Subdivision Name
Alivio's Walk In Wellness Center at Berwyn
Type
HRSA-Funded Health Center
340B ID
CH05662L
Entity Address
6447 West Cermak Road, Suite 100
Berwyn, IL 60402
Grant Number
H80CS00116
Participating Start Date
1/1/2023
Last Recertification Date
2/28/2025
Pharmacy Details
Pharmacy Name
BIENESTAR PHARMACY III INC.
Pharmacy Address
2359 S WESTERN AVE STE 100
CHICAGO, IL 60608
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ankit Prakash Patel, CFO
(312) 312-2719
Contract Pharmacy Representative
Bienestar Pharmacy
Snehal Bhavsar, Senior Associate
(630) 452-3938
Signed By Date
4/15/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session