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EVERGREEN PHARMACY
STD532122 Health Connections Inc.
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Covered Entity Details
Entity Name
Health Connections Inc.
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD532122
Entity Address
4655 N. Port Washington Road
Suite 300
Glendale, WI 53212-1004
Grant Number
NH25PS005148
Participating Start Date
8/4/2021
Last Recertification Date
6/3/2025
Pharmacy Details
Pharmacy Name
EVERGREEN PHARMACY
Pharmacy Address
10101 W GREENFIELD AVE STE 130
WEST ALLIS, WI 53214-3953
Pharmacy Comments
Contract Details
Approval Date
1/16/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2021
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ericka Sinclair, Executive Director
(404) 218-3686
Contract Pharmacy Representative
Evergreen Pharmacy LLC
Andrew Hochradel, PharmD, President
(414) 533-6600
Signed By Date
1/16/2017
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