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WALGREEN CO.
CH051827B 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
Type
HRSA-Funded Health Center
340B ID
CH051827B
Entity Address
2501 W Peterson Ave
Chicago, IL 60659-4108
Grant Number
H80CS02327
Participating Start Date
1/1/2014
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 06980
3019 W PETERSON AVE
CHICAGO, IL 60659-3417
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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