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KODO PHARMACY, INC.
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
KODO PHARMACY, INC.
Pharmacy Address
1522 E. WASHINGTON STREET
JOLIET, IL 60433-1365
Pharmacy Comments
Contract Details
Approval Date
7/14/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/30/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mary Maragos, Chief Executive Officer
(815) 740-7635
Contract Pharmacy Representative
Chad Kodiak, President
(815) 727-4721
Signed By Date
7/14/2015
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