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DELIVERCARERX PHARMACY LLC
CH056770 COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH AND SOCIAL SERVICES CENTER, INC.
Subdivision Name
COMMUNITY HEALTH AND SOCIAL SERVICES (CHASS)
Type
HRSA-Funded Health Center
340B ID
CH056770
Entity Address
5635 W Fort St
Detroit, MI 48209-3154
Grant Number
H80CS00724
Participating Start Date
10/1/1995
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
DELIVERCARERX PHARMACY LLC
Pharmacy Address
DELIVERCARERX PHARMACY LLC
1471 E BUSINESS CENTER DR
STE 200
MT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
1/10/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2018
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Felix Valbuena Jr., CEO
(313) 849-3920 Ext: 5016
Contract Pharmacy Representative
Agape
Dave Krishna, CEO
(847) 965-1600
Signed By Date
1/10/2018
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