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UNIVERSITY OF ILLINOIS SCB PHARMACY
DSH140150 UNIVERSITY OF ILLINOIS HOSPITAL
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Covered Entity Details
Entity Name
UNIVERSITY OF ILLINOIS HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140150
Entity Address
1740 W Taylor St.
CHICAGO, IL 60612
Medicare Provider Number
140150
Participating Start Date
7/1/2009
Last Recertification Date
8/31/2024
Pharmacy Details
Pharmacy Name
UNIVERSITY OF ILLINOIS SCB PHARMACY
Pharmacy Address
DBA SCB PHARMACY
1009 S. WOOD ST.
SUITE 1025
CHICAGO, IL 60612
Pharmacy Comments
09/12/2013 - Deleted duplicate Pharmacy per OPA instructions. 09/06/2013 Corrected name and address, changed in error on 3/28/2013, refer to history for details.
Contract Details
Approval Date
9/16/2010
Contract Begin Date
10/1/2010
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Univ of IL Taylor Street/EEI Pharmacy
Monazzah Sarwar, Assistant Director
(312) 996-9600
Signed By Date
9/15/2010
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