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PHARMACY ONE PLUS
CH05321CG ERIE FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
ERIE FAMILY HEALTH CENTER, INC.
Subdivision Name
ERIE HELPING HANDS HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH05321CG
Entity Address
4747 N Kedzie Ave
Chicago, IL 60625
Grant Number
H80CS00115
Participating Start Date
10/1/2007
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
PHARMACY ONE PLUS
Pharmacy Address
THURAYA, INC
4753-55 N KEDZIE AVE
CHICAGO, IL 60625
Pharmacy Comments
Contract Details
Approval Date
3/31/2010
Contract Begin Date
3/31/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/22/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Lee Francis, President & CEO
(312) 432-7394
Contract Pharmacy Representative
JAWAD RABI, PRESIDENT
(773) 267-5050
Signed By Date
1/21/2010
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