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UW HEALTH-ARBORETUM PHARMACY
CH051520E Access Community Health Centers, Inc
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Covered Entity Details
Entity Name
Access Community Health Centers, Inc
Subdivision Name
Sun Prairie Clinic
Type
HRSA-Funded Health Center
340B ID
CH051520E
Entity Address
1270 W Main Street
Sun Prairie, WI 53590
Grant Number
H80CS00280
Participating Start Date
10/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
UW HEALTH-ARBORETUM PHARMACY
Pharmacy Address
REMOTE DISPENSING SERVICES
2202 S PARK ST
MADISON, WI 53713-1916
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ken Loving, CEO
(608) 443-5590
Contract Pharmacy Representative
UW Health
Brock Dantuma, Pharmacy Manager
(608) 263-1290
Signed By Date
4/15/2025
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