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WALGREEN CO.
CH051827C ASIAN HUMAN SERVICES FAMILY HEALTH CENTER
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Covered Entity Details
Entity Name
ASIAN HUMAN SERVICES FAMILY HEALTH CENTER
Subdivision Name
AHS Family Health Center Skokie
Type
HRSA-Funded Health Center
340B ID
CH051827C
Entity Address
8800 LOCKWOOD AVE
SKOKIE, IL 60077-1500
Grant Number
H80CS02327
Participating Start Date
7/1/2014
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 00252
7510 N WESTERN AVE
CHICAGO, IL 60645
Pharmacy Comments
Contract Details
Approval Date
1/12/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Muhammad W Paracha, CEO
(773) 761-0010
Contract Pharmacy Representative
Walgreens
Allene Stewart, Analyst, 340B Client Relationship
(847) 315-4442
Signed By Date
1/12/2024
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