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WALGREEN CO.
CH057880 WILL COUNTY COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
WILL COUNTY COMMUNITY HEALTH CENTER
Subdivision Name
WILL COUNTY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH057880
Entity Address
1106 Neal Ave
Joliet, IL 60433-2548
Grant Number
H80CS00476
Participating Start Date
7/1/2001
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15031
1106 NEAL AVENUE
JOLIET, IL 60433
Pharmacy Comments
Contract Details
Approval Date
4/18/2013
Contract Begin Date
7/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/25/2016
Pharmacy closed
Contacts
Covered Entity Signing Official
CONNIE MONTEMAYOR, INTERIM CHIEF EXECUTIVE OFFICER
(815) 774-7355
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/18/2013
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