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BIENESTAR PHARMACY II
CH051030 TCA HEALTH, INC. NFP
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Covered Entity Details
Entity Name
TCA HEALTH, INC. NFP
Subdivision Name
THE CLINIC IN ALTGELD, INC.
Type
HRSA-Funded Health Center
340B ID
CH051030
Entity Address
1029 E 130th St
Chicago, IL 60628-6908
Grant Number
H80CS00109
Participating Start Date
10/1/1997
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
BIENESTAR PHARMACY II
Pharmacy Address
6447 CERMAK RD STE 118
BERWYN, IL 60402
Pharmacy Comments
Contract Details
Approval Date
7/7/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/16/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
VERONICA CLARKE, CEO
(773) 995-6300 Ext: 213
Contract Pharmacy Representative
Bienestar Pharmacy
Snehal Bhavsar, Senior Associate
(630) 452-3938
Signed By Date
7/7/2015
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