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AMERICAN DRUG STORES LLC
CH05930B FAMILY CHRISTIAN HEALTH CENTER
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Covered Entity Details
Entity Name
FAMILY CHRISTIAN HEALTH CENTER
Subdivision Name
Family Christian Health Center Lynwood
Type
HRSA-Funded Health Center
340B ID
CH05930B
Entity Address
19767 Torrence Ave
Lynwood, IL 60411
Grant Number
H80CS00879
Participating Start Date
7/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AMERICAN DRUG STORES LLC
Pharmacy Address
DBA OSCO DRUG 3188
17705 HALSTED ST
HOMEWOOD, IL 60430
Pharmacy Comments
Contract Details
Approval Date
4/8/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lisa Green, CEO
(708) 339-5525
Contract Pharmacy Representative
New Albertsons L. P.
Chuck Hanson, 340 B Program manager
(208) 395-6304
Signed By Date
4/8/2019
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