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WAUKESHA HEALTH SERVICES
CH05306AH 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-Waukesha
Type
HRSA-Funded Health Center
340B ID
CH05306AH
Entity Address
309 E North St
Waukesha, WI 53188-3718
Grant Number
H80CS00593
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WAUKESHA HEALTH SERVICES
Pharmacy Address
725 AMERICAN AVE
WAUKESHA, WI 53188-5031
Pharmacy Comments
Contract Details
Approval Date
2/22/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Betsy Spahiu, Vice President Finance
(414) 897-5153
Contract Pharmacy Representative
Mohammed Kharbat, Director of Pharmacy
(414) 928-2279
Signed By Date
1/25/2013
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