340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ADVANCECARE CHICAGO INC
STD891041 Community Outreach Medical Center
Print
Covered Entity Details
Entity Name
Community Outreach Medical Center
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD891041
Entity Address
2080 E. Flamingo Rd.
Suite 302
Las Vegas, NV 89119-2803
Grant Number
1NH25PS005179-01-00
Participating Start Date
7/1/2019
Last Recertification Date
5/6/2025
Pharmacy Details
Pharmacy Name
ADVANCECARE CHICAGO INC
Pharmacy Address
MISTR
3324 N HALSTED ST
CHICAGO, IL 60657
Pharmacy Comments
Contract Details
Approval Date
10/7/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
kema ogden, Executive Director
(702) 604-6052
Contract Pharmacy Representative
AdvanceCare Pharmacy
Kyle Bernier, Director of Operations
(508) 971-8380
Signed By Date
10/7/2024
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