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WALMART PHARMACY 10-3004
HV60120 OPEN DOOR CLINIC OF GREATER ELGIN
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Covered Entity Details
Entity Name
OPEN DOOR CLINIC OF GREATER ELGIN
Subdivision Name
Type
Ryan White Part C
340B ID
HV60120
Entity Address
1665 Larkin Ave
ELGIN, IL 60123
Grant Number
H76HA01704
Participating Start Date
10/1/2004
Last Recertification Date
2/28/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
WALMART PHARMACY 10-3004
Pharmacy Address
3320 S. CICERO AVE
CICERO, IL 60804
Pharmacy Comments
Contract Details
Approval Date
4/6/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/21/2022
Agreement registered in error
Contacts
Covered Entity Signing Official
Lee Hanson, Executive Director
(630) 329-7200
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/6/2022
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