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WALGREEN CO.
CH0515160 Greater Family Health
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Covered Entity Details
Entity Name
Greater Family Health
Subdivision Name
370 Summit St
Type
HRSA-Funded Health Center
340B ID
CH0515160
Entity Address
370 Summit St
Elgin, IL 60120-3843
Grant Number
H80CS00288
Participating Start Date
9/9/2005
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #13591
1435 N RANDALL RD, STE 101
ELGIN, IL 60123
Pharmacy Comments
Contract Details
Approval Date
7/11/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/13/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
ROBERT M. TANNER, PRESIDENT/CEO
(847) 608-1344 Ext: 230
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/11/2016
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