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WALGREEN CO.
RWIID627618 ILLINOIS DEPARTMENT OF PUBLIC HEALTH
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Covered Entity Details
Entity Name
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Subdivision Name
HIV/AIDS/ADAP SECTION
Type
Ryan White Part B ADAP Direct Purchase
340B ID
RWIID627618
Entity Address
535 West Jefferson Street
SPRINGFIELD, IL 62702-5076
Grant Number
5 X07HA00013-35-00
Participating Start Date
4/1/1997
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS PHARMACY AT CRUSADERS #21287
1200 W STATE ST STE 102
ROCKFORD, IL 61102-2112
Pharmacy Comments
Contract Details
Approval Date
10/28/2021
Contract Begin Date
12/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jeffrey Maras, HIV/AIDS SECTION, ADAP
(217) 524-5983
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/28/2021
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