340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LAWRENCE HOUSE DRUG CO.
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
LAWRENCE HOUSE DRUG CO.
Pharmacy Address
1026 W. LAWRENCE AVE.
CHICAGO, IL 60640
Pharmacy Comments
Contract Details
Approval Date
8/25/2010
Contract Begin Date
8/25/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/12/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
STEPHANIE LUTHER, MEDICAL DIRECTOR
(773) 751-1859
Contract Pharmacy Representative
Lawrence House Pharmacy
JOSEPH ROGOWIN, OWNER - PRESIDENT
(773) 561-2288
Signed By Date
8/23/2010
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