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WALGREEN CO.
CH051050 CHICAGO FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CHICAGO FAMILY HEALTH CENTER, INC.
Subdivision Name
CHICAGO FAMILY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH051050
Entity Address
9119 S Exchange Ave
Chicago, IL 60617-4225
Grant Number
H80CS00514
Participating Start Date
1/1/1998
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07267
650 W 63RD ST
CHICAGO, IL 60621-2012
Pharmacy Comments
Contract Details
Approval Date
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Zakeya Atia, CFO
(773) 364-2223
Contract Pharmacy Representative
Chicago Family Health Ctr
Zakeya Atia, CFO
(773) 364-2223
Signed By Date
1/15/2019
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