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DELIVERCARERX PHARMACY LLC
CH010720 NeighborHealth Corporation
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Covered Entity Details
Entity Name
NeighborHealth Corporation
Subdivision Name
EAST BOSTON NEIGHBORHOOD HEALTH
Type
HRSA-Funded Health Center
340B ID
CH010720
Entity Address
10 Gove St
East Boston, MA 02128-1920
Grant Number
H80CS00058
Participating Start Date
7/1/1997
Last Recertification Date
3/6/2025
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
4/12/2018
Contract Begin Date
7/1/2018
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
Manuel Lopes, CEO
(617) 568-4570
Contract Pharmacy Representative
Agape
Dave Krishna, CEO
(847) 965-1600
Signed By Date
4/12/2018
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