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ELGIN CENTER PHARMACY, INC.
FP601202 VNA Health Care
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Covered Entity Details
Entity Name
VNA Health Care
Subdivision Name
VNA HEALTH CENTER ELGIN TITLE X
Type
Family Planning (Title X only)
340B ID
FP601202
Entity Address
620 WING ST
ELGIN, IL 60123
Grant Number
FPHPA056139
Participating Start Date
1/1/1998
Last Recertification Date
5/13/2019
Entity Termination Date
10/1/2019
Pharmacy Details
Pharmacy Name
ELGIN CENTER PHARMACY, INC.
Pharmacy Address
901 CENTER STREET
SUITE B
ELGIN, IL 60120
Pharmacy Comments
Contract Details
Approval Date
4/5/2007
Contract Begin Date
4/5/2007
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
6/7/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/5/2007
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