340B Drug Pricing Program Database
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WALGREEN CO.
CH05103C TCA HEALTH, INC. NFP
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Covered Entity Details
Entity Name
TCA HEALTH, INC. NFP
Subdivision Name
TCA Health- Chatham
Type
HRSA-Funded Health Center
340B ID
CH05103C
Entity Address
8425 S Cottage Grove Ave
Chicago, IL 60619-6113
Grant Number
H80CS00109
Participating Start Date
4/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 09357
833 W 115TH ST
CHICAGO, IL 60643-4619
Pharmacy Comments
Contract Details
Approval Date
1/14/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
VERONICA CLARKE, CEO
(773) 995-6300 Ext: 213
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/14/2022
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