340B Drug Pricing Program Database

Pharmacy Name

RUSH MEDICAL OFFICE BUILDING PHARMACY

Pharmacy Address

610 S. MAPLE AVE STE 1600
OAK PARK, IL 60304

Pharmacy Comments

Approval Date

10/4/2012

Contract Begin Date

10/4/2012

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

John Mordach, Chief Financial Officer
(312) 942-5600

Contract Pharmacy Representative

Rush University Medical Center
Scott Sonnenschein, Vice President Hospital Operations
(312) 563-2093

Signed By Date

9/11/2012