340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
PULSE PHARMACY INC.
DSH140095 SAINT ANTHONY HOSPITAL
Print
Covered Entity Details
Entity Name
SAINT ANTHONY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140095
Entity Address
2875 WEST 19TH STREET
CHICAGO, IL 60623
Medicare Provider Number
140095
Participating Start Date
7/1/2003
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
PULSE PHARMACY INC.
Pharmacy Address
2875 W 19TH ST STE 201
CHICAGO, IL 60623-3501
Pharmacy Comments
Contract Details
Approval Date
7/4/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/29/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jill Stemmerman, Vice President
(773) 484-4470
Contract Pharmacy Representative
Bienestar Pharmacy
Snejal Bhavsar, Senior Associate
(630) 452-3938
Signed By Date
7/4/2013
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