340B Drug Pricing Program Database

Pharmacy Name

SURECARE PHARMACY INC.

Pharmacy Address

2001 S CALIFORNIA AVE
SUITE 103
CHICAGO, IL 60608-2486

Pharmacy Comments

Approval Date

3/18/2013

Contract Begin Date

4/1/2013

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Dan Fulwiler, CEO
(773) 584-6200

Contract Pharmacy Representative

CH059300
RACHIT SHAH, PHARMACIST IN CHARGE
(732) 910-2949

Signed By Date

2/14/2013