340B Drug Pricing Program Database

Pharmacy Name

ROSELAND COMMUNITY HOSPITAL ASSOCIATION

Pharmacy Address

DBA THE NEW ROSELAND OUTPATIENT PHARMACY
45 W 111TH ST
CHICAGO, IL 60628-4200

Pharmacy Comments

Approval Date

4/4/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/1/2017
Agreement registered in error

Covered Entity Signing Official

Tim Egan, President
(773) 995-3015

Contract Pharmacy Representative

PAMELA TANYITIKU, Director of Pharmacy
(773) 995-4841

Signed By Date

4/4/2017