340B Drug Pricing Program Database
WALGREENS SPECIALTY PHARMACY, LLC
CH05321CH ERIE FAMILY HEALTH CENTER, INC. - information as of 4/27/2025 1:20:19 AM
Covered Entity Details
Entity Name
ERIE FAMILY HEALTH CENTER, INC.
Subdivision Name
Erie Division Street Health Center
Type
HRSA-Funded Health Center
340B ID
CH05321CH
Entity Address
2418 W Division St
Chicago, IL 60622
Grant Number
H80CS00115
Participating Start Date
10/1/2012
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WALGREENS SPECIALTY PHARMACY, LLC
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15438
41460 HAGGERTY CIR S
CANTON, MI 48188
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Bruce, Chief Financial & Administrative Officer (CFAO)
(312) 432-2725
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/16/2023
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