Contract Pharmacy Details

WALGREEN CO.
CH057580 University of Illinois

Covered Entity Details

Entity Name

University of Illinois

Subdivision Name

University of Illinois Mile Square Health Center - IMD

Type

HRSA-Funded Health Center

340B ID

CH057580

Entity Address

1220 S. Wood Street
Chicago, IL 60608

Grant Number

H80CS00324

Participating Start Date

1/1/2000

Last Recertification Date

2/23/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 10350
7109 S JEFFERY BLVD
CHICAGO, IL 60649-2425

Pharmacy Comments

Contract Details

Approval Date

1/17/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/27/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Vanessa Peoples, Assistant Vice President for Business and Finance and Chief Business Officer
(312) 996-5958

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

1/17/2017

340B Drug Pricing Program Database