Contract Pharmacy Details

WALGREEN CO.
CH0512480 CHRISTIAN COMMUNITY HEALTH CENTER

Covered Entity Details

Entity Name

CHRISTIAN COMMUNITY HEALTH CENTER

Subdivision Name

Type

HRSA-Funded Health Center

340B ID

CH0512480

Entity Address

9718 S Halsted Street
CHICAGO, IL 60628-1007

Grant Number

H80CS00594

Participating Start Date

7/1/2006

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 00232
3405 S KING DR
CHICAGO, IL 60616

Pharmacy Comments

9/27/10 UPDATED PHARMACY NAME (WAS WALGREENS #245);

Contract Details

Approval Date

10/4/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kenneth A. Burnett, Chief Executive Officer
(773) 298-4745

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/4/2021

340B Drug Pricing Program Database