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WALGREEN CO.
URB162 AMERICAN INDIAN HEALTH SERVICE OF CHICAGO, INC.
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Covered Entity Details
Entity Name
AMERICAN INDIAN HEALTH SERVICE OF CHICAGO, INC.
Subdivision Name
Type
Urban Indian
340B ID
URB162
Entity Address
4326 W. Montrose Ave
CHICAGO, IL 60641
Grant Number
Participating Start Date
7/1/2001
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15004
953 W. IRVING PARK RD.
CHICAGO, IL 60613
Pharmacy Comments
Contract Details
Approval Date
10/2/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KENNETH R. SCOTT, EXECUTIVE DIRECTOR
(773) 833-9100
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/2/2013
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