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PRAXIS SPECIALTY PHARMACY LLC
FP60429 AUNT MARTHA'S COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
AUNT MARTHA'S COMMUNITY HEALTH CENTER
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP60429
Entity Address
17850 S.KEDZIE AVENUE
SUITE 1150
HAZEL CREST, IL 60429
Grant Number
FPHPA056060
Participating Start Date
7/1/2010
Last Recertification Date
5/10/2024
Pharmacy Details
Pharmacy Name
PRAXIS SPECIALTY PHARMACY LLC
Pharmacy Address
PRAXIS RX PHARMACY
5455 W WATERS AVE STE 214
TAMPA, FL 33634
Pharmacy Comments
Contract Details
Approval Date
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Audrey Pennington, Chief Operating Officer
(708) 747-7100
Contract Pharmacy Representative
William Scott Bailey, Pharmacist in Charge
(888) 903-7453
Signed By Date
10/15/2015
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