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WALGREEN CO.
CH051750 ACCESS COMMUNITY HEALTH NETWORK
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Covered Entity Details
Entity Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ADMINISTRATIVE OFFICES
Type
HRSA-Funded Health Center
340B ID
CH051750
Entity Address
600 W Fulton
STE 300
CHICAGO, IL 60661
Grant Number
H80CS00834
Participating Start Date
7/1/2004
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 01173
1520 W FULLERTON
CHICAGO, IL 60614
Pharmacy Comments
Contract Details
Approval Date
9/28/2010
Contract Begin Date
10/1/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DONNA THOMPSON, CEO
(312) 526-2051
Contract Pharmacy Representative
KERMIT R. CRAWFORD, EXECUTIVE VICE PRESIDENT OF PHARMACY
(847) 315-3154
Signed By Date
8/23/2010
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