340B Drug Pricing Program Database
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UW HEALTH - EAST PHARMACY
RWII53715 University of Wisconsin-Madison
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Covered Entity Details
Entity Name
University of Wisconsin-Madison
Subdivision Name
UW HIV Care and Prevention Program
Type
Ryan White Part B
340B ID
RWII53715
Entity Address
600 Highland Ave.
Attn: Julie Yendrek, ID Clinic
Room B6/242
Madison, WI 53792
Grant Number
X07HA00027
Participating Start Date
4/1/2015
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
UW HEALTH - EAST PHARMACY
Pharmacy Address
5249 E TERRACE DR
MADISON, WI 53718
Pharmacy Comments
Contract Details
Approval Date
7/12/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael J. Kuntz, Managing Officer
(608) 262-2588
Contract Pharmacy Representative
UW Health
Melissa Ngo, Manager-340B Operations and Support
(608) 662-2315
Signed By Date
7/12/2016
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