340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
URB162 AMERICAN INDIAN HEALTH SERVICE OF CHICAGO, INC.
Print
Covered Entity Details
Entity Name
AMERICAN INDIAN HEALTH SERVICE OF CHICAGO, INC.
Subdivision Name
Type
Urban Indian
340B ID
URB162
Entity Address
4326 W. Montrose Ave
CHICAGO, IL 60641
Grant Number
Participating Start Date
7/1/2001
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07359
3222 N. MILWAUKEE AVENUE
CHICAGO, IL 60618-5106
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KENNETH R. SCOTT, EXECUTIVE DIRECTOR
(773) 833-9100
Contract Pharmacy Representative
American Indian Health Service of Chicago, Inc.
KENNETH R. SCOTT, EXECUTIVE DIRECTOR
(773) 833-9100
Signed By Date
10/15/2018
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