340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SALUD PHARMACY INC.
CH05662K ALIVIO MEDICAL CENTER, INC
Print
Covered Entity Details
Entity Name
ALIVIO MEDICAL CENTER, INC
Subdivision Name
Alivio Medical Center at Berwyn
Type
HRSA-Funded Health Center
340B ID
CH05662K
Entity Address
6447 Cermak Rd
Berwyn, IL 60402-2311
Grant Number
H80CS00116
Participating Start Date
7/1/2015
Last Recertification Date
2/26/2025
Pharmacy Details
Pharmacy Name
SALUD PHARMACY INC.
Pharmacy Address
4255 W 63RD ST STE 300
CHICAGO, IL 60629
Pharmacy Comments
Contract Details
Approval Date
4/16/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/12/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
ESTHER CORPUZ, CHIEF EXECUTIVE OFFICER
(312) 829-6304
Contract Pharmacy Representative
Bienestar Pharmacy
Snejal Bhavsar, Senior Associate
(630) 452-3938
Signed By Date
4/16/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session