340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
FP60108 ACCESS COMMUNITY HEALTH NETWORK
Print
Covered Entity Details
Entity Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS Martin T. Russo Family Health Center
Type
Family Planning (Title X only)
340B ID
FP60108
Entity Address
245 SOUTH GARY AVENUE
LOWER LEVEL
BLOOMINGDALE, IL 60108
Grant Number
FPHPA056139
Participating Start Date
1/1/2010
Last Recertification Date
5/30/2019
Entity Termination Date
1/1/2020
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 01173
1520 W FULLERTON
CHICAGO, IL 60614
Pharmacy Comments
Contract Details
Approval Date
9/16/2010
Contract Begin Date
9/17/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
DONNA THOMPSON, CEO
(312) 526-2051
Contract Pharmacy Representative
KERMIT R. CRAWFORD, EXECUTIVE VICE PRESIDENT OF PHARMACY
(847) 315-3154
Signed By Date
8/23/2010
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