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WALGREEN CO
FP60901 AUNT MARTHA'S COMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
AUNT MARTHA'S COMUNITY HEALTH CENTER
Subdivision Name
KANKAKEE COMMUNITY HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP60901
Entity Address
1777 COURT ST.
KANAKEE, IL 60901
Grant Number
FPHPA006459
Participating Start Date
4/1/2020
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
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
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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