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WALGREEN CO.
PED143300-00 Ann & Robert H. Lurie Children's Hospital of Chicago
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Covered Entity Details
Entity Name
Ann & Robert H. Lurie Children's Hospital of Chicago
Subdivision Name
Type
Children's Hospital
340B ID
PED143300-00
Entity Address
225 E. Chicago Ave.
Chicago, IL 60611-2605
Medicare Provider Number
143300
Participating Start Date
10/1/2011
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15992
2500 N CLARK ST
CHICAGO, IL 60614
Pharmacy Comments
Contract Details
Approval Date
10/14/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brian Stahulak, Chief Nursing Officer
(312) 227-4622
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/14/2024
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