340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CHC33649-00 INNER CITY MUSLIM ACTION NETWORK
Print
Covered Entity Details
Entity Name
INNER CITY MUSLIM ACTION NETWORK
Subdivision Name
IMAN-Main Site
Type
HRSA-Funded Health Center
340B ID
CHC33649-00
Entity Address
2744 W 63rd St
Chicago, IL 60629-2343
Grant Number
H80CS33649
Participating Start Date
7/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 10350
7109 S JEFFERY BLVD
CHICAGO, IL 60649-2425
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/27/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Sofia Adawy, Senior Health Center Director
(773) 434-4626
Contract Pharmacy Representative
Inner City Muslim Action Network
Nada Bowie, Senior Operations Manager
(773) 434-4626
Signed By Date
4/15/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session