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COMMUNITY PHARMACY
STD537042 Public Health - Madison and Dane County
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Covered Entity Details
Entity Name
Public Health - Madison and Dane County
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD537042
Entity Address
2705 E. Washington
Madison, WI 53704
Grant Number
NH25PS005148
Participating Start Date
1/1/2014
Last Recertification Date
5/7/2025
Pharmacy Details
Pharmacy Name
COMMUNITY PHARMACY
Pharmacy Address
COMMUNITY PHARMACY
130 S. FAIR OAKS AVE.
MADISON, WI 53704
Pharmacy Comments
Contract Details
Approval Date
4/7/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cheryl Robinson, STI-HIV Program Manager
(608) 243-0401
Contract Pharmacy Representative
Richard Kilmer, Chief Pharmacist
(608) 251-4454
Signed By Date
4/7/2014
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