340B Drug Pricing Program Database


EVERGREEN PARK PHARMACY - information as of 5/6/2025 12:36:01 AM


EVERGREEN PARK PHARMACY

2850 W 95TH ST STE 100
EVERGREEN PARK, IL 60805-2703



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH140179OSF Little Company of Mary Medical Center Disproportionate Share Hospital2800 WEST 95TH STREET
EVERGREEN PARKIL01/01/202207/06/20227/6/2022 9:39 AM
DetailsRRC140179-00OSF LITTLE COMPANY OF MARY MEDICAL CENTER Rural Referral Center2800 WEST 95TH STREET
EVERGREEN PARKIL01/01/202110/01/202110/1/2021 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  EVERGREEN PARK PHARMACY 2850 W 95TH ST STE 100 EVERGREEN PARK, IL 60805-27037/10/2020 1:55 PM
AddressesPharmacy AddressInsert  EVERGREEN PARK PHARMACY 2850 W. 95TH STREET SUITE 100 EVERGREEN PARK, IL 60805-27037/7/2020 8:30 AM
AddressesPharmacy AddressInsert  EVERGREEN PARK PHARMACY 2850 W. 95TH STREET SUITE 100 EVERGREEN PARK, IL 608059/29/2017 6:44 AM
AddressesPharmacy AddressUpdate EVERGREEN PARK PHARMACY 2850 W. 95TH STREET EVERGREEN PARK, IL 60805EVERGREEN PARK PHARMACY 2850 W. 95TH STREET SUITE 100 EVERGREEN PARK, IL 608053/28/2013 4:21 PM
DetailsCommentsInsert   3/28/2013 4:21 PM
DetailsIs DeletedInsert  False3/28/2013 4:21 PM
AddressesPharmacy AddressInsert  EVERGREEN PARK PHARMACY 2850 W. 95TH STREET EVERGREEN PARK, IL 608053/28/2013 4:21 PM
DetailsNameInsert  EVERGREEN PARK PHARMACY3/28/2013 4:21 PM