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UW HEALTH PHARMACY SERVICES
CH051520D Access Community Health Centers, Inc
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Covered Entity Details
Entity Name
Access Community Health Centers, Inc
Subdivision Name
Wingra Family Medical Center
Type
HRSA-Funded Health Center
340B ID
CH051520D
Entity Address
1102 S. Park St.
Madison, WI 53715-1714
Grant Number
H80CS00280
Participating Start Date
7/1/2012
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
UW HEALTH PHARMACY SERVICES
Pharmacy Address
3434 EAST WASHINGTON AVE
MADISON, WI 53704
Pharmacy Comments
Contract Details
Approval Date
1/10/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joanne Holland, Chief Business Development Officer
(608) 443-5518
Contract Pharmacy Representative
Carrie Boeckelman, Manager,Pharmacy Services
(608) 203-4895
Signed By Date
1/10/2014
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