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MHG PHARMACY SERVICES, LLC
RWII60616 Men & Women In Prison Ministries
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Covered Entity Details
Entity Name
Men & Women In Prison Ministries
Subdivision Name
Type
Ryan White Part B
340B ID
RWII60616
Entity Address
10 W. 35th Street
Suite# 9C7-2
Chicago, IL 60616
Grant Number
X07HA00013-34-00
Participating Start Date
1/1/2025
Last Recertification Date
2/27/2025
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
11/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
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
10/3/2024
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