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WALGREEN CO.
RWI60505 OPEN DOOR CLINIC OF GREATER ELGIN
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Covered Entity Details
Entity Name
OPEN DOOR CLINIC OF GREATER ELGIN
Subdivision Name
AURORA CLINIC
Type
Ryan White Part A
340B ID
RWI60505
Entity Address
157 S. LINCOLN AVENUE
Suite K
AURORA, IL 60505
Grant Number
H89HA00008
Participating Start Date
4/1/2012
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 12125
9 N UNION ST
AURORA, IL 60505-3513
Pharmacy Comments
Contract Details
Approval Date
4/10/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
zeba s geloo, medical director
(847) 695-1093
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/10/2020
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