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FAGEN PHARMACY #28
CH05175AB ACCESS COMMUNITY HEALTH NETWORK
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Covered Entity Details
Entity Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS Family Health Society
Type
HRSA-Funded Health Center
340B ID
CH05175AB
Entity Address
152 W. LINCOLN HWY
CHICAGO HEIGHTS, IL 60411-2619
Grant Number
H80CS00834
Participating Start Date
7/1/2002
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
FAGEN PHARMACY #28
Pharmacy Address
DEMOTTE DRUGS INC.
571 W. 14TH STREET
CHICAGO HEIGHTS, IL 60411
Pharmacy Comments
Contract Details
Approval Date
8/24/2003
Contract Begin Date
8/24/2003
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/11/2017
Pharmacy closed
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
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