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AMERICAN DRUG STORES LLC
CH056420 LAWNDALE CHRISTIAN HEALTH CENTER
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Covered Entity Details
Entity Name
LAWNDALE CHRISTIAN HEALTH CENTER
Subdivision Name
Lawndale Christian Health Center Main Clinic
Type
HRSA-Funded Health Center
340B ID
CH056420
Entity Address
3860 W Ogden Ave
Chicago, IL 60623-2460
Grant Number
H80CS00725
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
AMERICAN DRUG STORES LLC
Pharmacy Address
DBA OSCO DRUG 3170
5324 S. PULASKI
CHICAGO, IL 60632
Pharmacy Comments
Contract Details
Approval Date
4/12/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/21/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alyssa Sianghio, Chief Administrative Officer (CAO)
(872) 588-3015
Contract Pharmacy Representative
Albertsons Companies
Chuck Hanson, Senior 340B Program Manager
(208) 395-6304
Signed By Date
4/12/2022
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