Contract Pharmacy Details

WALGREEN CO.
CH056420 LAWNDALE CHRISTIAN HEALTH CENTER

Covered Entity Details

Entity Name

LAWNDALE CHRISTIAN HEALTH CENTER

Subdivision Name

Lawndale Christian Health Center Main Clinic

Type

HRSA-Funded Health Center

340B ID

CH056420

Entity Address

3860 W Ogden Ave
Chicago, IL 60623-2460

Grant Number

H80CS00725

Participating Start Date

12/1/1992

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 00232
3405 S KING DR
CHICAGO, IL 60616

Pharmacy Comments

9/27/10 UPDATED PHARMACY NAME (WAS WALGREENS #245);

Contract Details

Approval Date

10/15/2015

Contract Begin Date

1/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/26/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

BRUCE MILLER, CEO
(872) 588-3012

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/15/2015

340B Drug Pricing Program Database