Contract Pharmacy Details

WALGREEN CO.
FQHCLA479A MIDWEST REFUAH HEALTH CENTER

Covered Entity Details

Entity Name

MIDWEST REFUAH HEALTH CENTER

Subdivision Name

Midwest Refuah Health Center - Admin/Medical

Type

Health Center Program Look-Alike

340B ID

FQHCLA479A

Entity Address

6374 N Lincoln Ave, Ste 204
Chicago, IL 60659-1219

Grant Number

LALCS54728

Participating Start Date

4/1/2025

Last Recertification Date

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

WALGREENS SPECIALTY PHARMACY #16498
2351 E 71ST ST
SUITE A
CHICAGO, IL 60649

Pharmacy Comments

Contract Details

Approval Date

3/10/2025

Contract Begin Date

4/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Ned Schoenfeld, CEO
(872) 270-5999

Contract Pharmacy Representative

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

Signed By Date

1/15/2025

340B Drug Pricing Program Database