Contract Pharmacy Details

WALGREEN CO.
FP60110 AUNT MARTHA'S COMUNITY HEALTH CENTER

Covered Entity Details

Entity Name

AUNT MARTHA'S COMUNITY HEALTH CENTER

Subdivision Name

Type

Family Planning (Title X only)

340B ID

FP60110

Entity Address

3003 WAKEFIELD DRIVE
CARPENTERSVILLE, IL 60110

Grant Number

FPHPA056060

Participating Start Date

4/1/2010

Last Recertification Date

5/10/2024

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 07866
2101 W JEFFERSON ST
JOLIET, IL 60435-6621

Pharmacy Comments

Contract Details

Approval Date

4/17/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Audrey Pennington, Chief Operating Officer
(708) 747-7100

Contract Pharmacy Representative

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

Signed By Date

4/17/2017

340B Drug Pricing Program Database