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UNIVERSITY OF ILLINOIS MILE SQUARE PHARM
CH05758M UNIVERSITY OF ILLINOIS
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Covered Entity Details
Entity Name
UNIVERSITY OF ILLINOIS
Subdivision Name
Mile Square-Auburn Gresham Health and Wellness Center
Type
HRSA-Funded Health Center
340B ID
CH05758M
Entity Address
8131 S MAY ST
CHICAGO, IL 60620-3007
Grant Number
H80CS00324
Participating Start Date
4/1/2015
Last Recertification Date
2/19/2019
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
UNIVERSITY OF ILLINOIS MILE SQUARE PHARM
Pharmacy Address
1220 S WOOD ST STE 1045
CHICAGO, IL 60608
Pharmacy Comments
Contract Details
Approval Date
1/20/2015
Contract Begin Date
4/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
University of Illinois Mile Square
Rhondi Inman, Assistant Director
(312) 413-1767
Signed By Date
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