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WALGREEN CO.
CH05190A Heartland Alliance Health, INC.
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Covered Entity Details
Entity Name
Heartland Alliance Health, INC.
Subdivision Name
Heartland Alliance Health James West Clinic
Type
HRSA-Funded Health Center
340B ID
CH05190A
Entity Address
932 W WASHINGTON BLVD
STE 224
Chicago, IL 60607-2217
Grant Number
H80CS00111
Participating Start Date
4/1/2014
Last Recertification Date
1/29/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #10485
12854 S ASHLAND AVE
CALUMET PARK, IL 60827-6308
Pharmacy Comments
Contract Details
Approval Date
1/5/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Mary Kay Gilbert, Interim Executive Director
(770) 361-7293
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/5/2024
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