340B Drug Pricing Program Database
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RWII60614 Chicago House and Social Service Agency (Active)
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Main Details
Name
Chicago House and Social Service Agency
Subdivision Name
Type
Ryan White Part B
340B ID
RWII60614
Grant Number
X07HA00013
Additional Details
Current Program Status
Active
Registration Date
10/11/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/25/2016
Last Recertification Date
2/11/2025
Time Period the Assistance was Received
2/1/2025 - 3/31/2026
Contacts
Authorizing Official
Chicago House and Social Service Agency
Judy Perloff, Chief Program Officer
(773) 248-5200 Ext: 311
Primary Contact
Chicago House and Social Service Agency
Fred Myrick, Pharmacy Services Manager
(773) 248-5200 Ext: 418
Addresses
Street Address
2229 S Michigan Avenue
Suite 304
Chicago, IL 60616
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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