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Walgreen CO
DSH140224 PRESENCE SAINT JOSEPH HOSP-CHICAGO
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Covered Entity Details
Entity Name
PRESENCE SAINT JOSEPH HOSP-CHICAGO
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140224
Entity Address
2900 NORTH LAKE SHORE DRIVE
CHICAGO, IL 60657
Medicare Provider Number
140224
Participating Start Date
7/1/2021
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
Walgreen CO
Pharmacy Address
DBA Walgreens Central Fill #21417
599 S Schmidt Rd
Ste A
Bolingbrook, IL 60440-9405
Pharmacy Comments
Contract Details
Approval Date
4/3/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/26/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Flavio Marin, CFO
(773) 665-6212
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/3/2023
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