Contract Pharmacy Details

WALGREEN CO.
CH059300 FAMILY CHRISTIAN HEALTH CENTER

Covered Entity Details

Entity Name

FAMILY CHRISTIAN HEALTH CENTER

Subdivision Name

FAMILY CHRISTIAN HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH059300

Entity Address

31 W 155th St
Harvey, IL 60426-3556

Grant Number

H80CS00879

Participating Start Date

4/1/2004

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

10/15/2021

Contract Begin Date

1/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/26/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Lisa Green, CEO
(708) 339-5525

Contract Pharmacy Representative

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

Signed By Date

10/15/2021

340B Drug Pricing Program Database