340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HAYAT PHARMACY 2, LLC
CH0511020 PROGRESSIVE COMMUNITY HEALTH CENTERS, INC
Print
Covered Entity Details
Entity Name
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC
Subdivision Name
LISBON AVENUE HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0511020
Entity Address
3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Grant Number
H80CS00751
Participating Start Date
4/1/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HAYAT PHARMACY 2, LLC
Pharmacy Address
5928 W VLIET ST
MILWAUKEE, WI 53208
Pharmacy Comments
Contract Details
Approval Date
10/13/2017
Contract Begin Date
1/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JENNI SEVENICH, CEO
(414) 934-9465
Contract Pharmacy Representative
Hayat Pharmacy 2
Tamir Kaloti, Finance Manager
(414) 374-0000
Signed By Date
10/13/2017
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session