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WALGREEN CO
FP61832 AUNT MARTHA'S HEALTHCARE NETWORK
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Covered Entity Details
Entity Name
AUNT MARTHA'S HEALTHCARE NETWORK
Subdivision Name
VERMILLION AREA COMMUNITY HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP61832
Entity Address
614 N GILBERT
DANVILLE, IL 61832
Grant Number
FPHPA056060
Participating Start Date
7/1/2010
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA: WALGREENS #11466
301 MADISON ST, STE 114
JOLIET, IL 60435
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
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