340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SWEDISH COVENANT HEALTH
DSH140114 SWEDISH COVENANT HEALTH
Print
Covered Entity Details
Entity Name
SWEDISH COVENANT HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140114
Entity Address
5145 N CALIFORNIA
CHICAGO, IL 60625
Medicare Provider Number
140114
Participating Start Date
7/1/2004
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
SWEDISH COVENANT HEALTH
Pharmacy Address
DBA GALTER MEDICAL PAVILION PHARMACY
5140 N CALIFORNIA AVE # G105
CHICAGO, IL 60625
Pharmacy Comments
Contract Details
Approval Date
7/11/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/8/2024
Ownership change
Contacts
Covered Entity Signing Official
Mark Newton, President
(773) 878-8200 Ext: 1000
Contract Pharmacy Representative
Jane Hyon Lee, GMP Pharmacy Manager
(773) 989-3980
Signed By Date
7/11/2013
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session