340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
BUSSE CVS, L.L.C.
CH051827A ASIAN HUMAN SERVICES FAMILY HEALTH CENTER
Print
Covered Entity Details
Entity Name
ASIAN HUMAN SERVICES FAMILY HEALTH CENTER
Subdivision Name
AHS Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH051827A
Entity Address
6301 N. Western Ave.
Chicago, IL 60659-2009
Grant Number
H80CS02327
Participating Start Date
4/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
BUSSE CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03110
1002 S. BUSSE RD.
MOUNT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
4/18/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Muhammad W Paracha, CEO
(773) 761-0010
Contract Pharmacy Representative
CVS
Charles Basralian, Acct Manager
(401) 772-7343
Signed By Date
4/18/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session