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UW HEALTH PHARMACY SERVICES
CH051520E Access Community Health Centers, Inc
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Covered Entity Details
Entity Name
Access Community Health Centers, Inc
Subdivision Name
Sun Prairie Clinic
Type
HRSA-Funded Health Center
340B ID
CH051520E
Entity Address
1270 W Main Street
Sun Prairie, WI 53590
Grant Number
H80CS00280
Participating Start Date
10/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
UW HEALTH PHARMACY SERVICES
Pharmacy Address
1102 S PARK ST
MADISON, WI 53715
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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