340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
VICTORY RX INC
FQHCLA417 INFANT WELFARE SOCIETY OF CHICAGO
Print
Covered Entity Details
Entity Name
INFANT WELFARE SOCIETY OF CHICAGO
Subdivision Name
IWS Family Health Logan Square
Type
Health Center Program Look-Alike
340B ID
FQHCLA417
Entity Address
3600 W FULLERTON AVE
CHICAGO, IL 60647-2319
Grant Number
LALCS40176
Participating Start Date
12/21/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
VICTORY RX INC
Pharmacy Address
DBA LOCAL HEALTH PHARMACY
2545 W DIVERSEY AVE STE 104
CHICAGO, IL 60647-7173
Pharmacy Comments
Contract Details
Approval Date
7/5/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen Lynne Williams, Chief Financial Officer
(773) 782-5017
Contract Pharmacy Representative
J&M Pharmacy
Adonis Ducre, Pharmacy Owner
(773) 285-6290
Signed By Date
7/5/2022
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