340B Drug Pricing Program Database

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MIDWEST PHARMACIES INC
CH057440 PCC COMMUNITY WELLNESS CENTER

Covered Entity Details

PCC Lake Street Family Health Center
HRSA-Funded Health Center
CH057440
14 Lake St
Oak Park, IL 60302-2606
H80CS00276
7/1/1997
2/10/2025


Pharmacy Details

DBA WESTLAKE MEDICAL ARTS PHARAMCY
1111 SUPERIOR ST
MELROSE PARK, IL 60160-4138

Contract Details

1/15/2019
4/1/2019

1/1/2020
Pharmacy closed


Contacts


Robert Urso, President & CEO
(708) 524-7686



West Suburban Medical Center
Ann E. Montgomery, Director of Pharmacy
(708) 763-1398
1/15/2019