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VIVENT PHARMACY LLC
CH053060 Sixteenth Street Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Sixteenth Street Community Health Centers, Inc.
Subdivision Name
Sixteenth Street Community Health Centers-Chavez
Type
HRSA-Funded Health Center
340B ID
CH053060
Entity Address
1032 S Cesar E Chavez Dr
MILWAUKEE, WI 53204
Grant Number
H80CS00593
Participating Start Date
10/1/1996
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
VIVENT PHARMACY LLC
Pharmacy Address
DBA VIVENT PHARMACY
1311 N 6TH ST STE 101
MILWAUKEE, WI 53212
Pharmacy Comments
Contract Details
Approval Date
12/8/2011
Contract Begin Date
12/8/2011
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Betsy Spahiu, Vice President Finance
(414) 897-5153
Contract Pharmacy Representative
AIDS Resource Center of Wisconsin
Michael Gifford, CEO
(414) 225-1547
Signed By Date
11/21/2011
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