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WALGREEN CO.
CH051827D ASIAN HUMAN SERVICES FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
ASIAN HUMAN SERVICES FAMILY HEALTH CENTER
Subdivision Name
AHS Family Health Center - Niles Clinic
Type
HRSA-Funded Health Center
340B ID
CH051827D
Entity Address
8321 W. Golf Rd
Niles, IL 60714-1113
Grant Number
H80CS02327
Participating Start Date
1/1/2016
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY#16501
6500 N CLARK ST
SUITE 101
CHICAGO, IL 60626
Pharmacy Comments
Contract Details
Approval Date
4/2/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Muhammad W Paracha, CEO
(773) 761-0010
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/2/2019
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