Contract Pharmacy Details

WALGREEN CO.
CH059110 FRIEND FAMILY HEALTH CENTER, INC

Covered Entity Details

Entity Name

FRIEND FAMILY HEALTH CENTER, INC

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH059110

Entity Address

800 EAST 55TH STREET
CHICAGO, IL 60615

Grant Number

H80CS00120

Participating Start Date

4/1/2000

Last Recertification Date

3/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 00232
3405 S KING DR
CHICAGO, IL 60616

Pharmacy Comments

9/27/10 UPDATED PHARMACY NAME (WAS WALGREENS #245);

Contract Details

Approval Date

7/12/2013

Contract Begin Date

10/1/2013

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

HERY BARLOW, INTERIM CEO
(773) 702-2193

Contract Pharmacy Representative

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

Signed By Date

7/12/2013

340B Drug Pricing Program Database