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WALGREEN CO.
CH051278B Tapestry 360 Health
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Covered Entity Details
Entity Name
Tapestry 360 Health
Subdivision Name
Tapestry 360 Health - Touhy
Type
HRSA-Funded Health Center
340B ID
CH051278B
Entity Address
2200 W Touhy
Chicago, IL 60645-3412
Grant Number
H80CS00215
Participating Start Date
7/1/2008
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 00252
7510 N WESTERN AVE
CHICAGO, IL 60645
Pharmacy Comments
Contract Details
Approval Date
7/5/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Nicole Willis, CEO
(773) 296-7589
Contract Pharmacy Representative
Walgreens Co
Eliza Pavel, Client Relationship
(847) 315-7763
Signed By Date
7/5/2024
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