340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RECEPT PHARMACY LP
CH051900 Heartland Alliance Health
Print
Covered Entity Details
Entity Name
Heartland Alliance Health
Subdivision Name
Heartland Alliance Health - Uptown
Type
HRSA-Funded Health Center
340B ID
CH051900
Entity Address
4009 N Broadway St
Chicago, IL 60613-2110
Grant Number
H80CS00111
Participating Start Date
1/1/2001
Last Recertification Date
1/29/2024
Pharmacy Details
Pharmacy Name
RECEPT PHARMACY LP
Pharmacy Address
DBA RECEPT PHARMACY #125
5501 S HALSTED ST STE 147
CHICAGO, IL 60621-2229
Pharmacy Comments
Contract Details
Approval Date
10/2/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/8/2022
Ownership change
Contacts
Covered Entity Signing Official
Ed Stellon, Executive Director
(773) 751-4109
Contract Pharmacy Representative
ReceptRX
Clay Keene, Vice President, Client Services
(914) 705-9046
Signed By Date
10/2/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session