340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ROSELAND COMMUNITY HOSPITAL ASSOCIATION
FP60617 AUNT MARTHA'S COMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
AUNT MARTHA'S COMUNITY HEALTH CENTER
Subdivision Name
AUNT MARTHA'S SOUTHEAST SIDE COMUNITY HEALTH CENTER
Type
Family Planning (Title X only)
340B ID
FP60617
Entity Address
3528 E. 118TH ST
CHICAGO, IL 60617
Grant Number
FPHPA006459
Participating Start Date
4/1/2020
Last Recertification Date
5/12/2025
Pharmacy Details
Pharmacy Name
ROSELAND COMMUNITY HOSPITAL ASSOCIATION
Pharmacy Address
DBA THE NEW ROSELAND OUTPATIENT PHARMACY
45 W 111TH ST
CHICAGO, IL 60628-4200
Pharmacy Comments
Contract Details
Approval Date
4/15/2017
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
PAMELA TANYITIKU, Director of Pharmacy
(773) 995-4841
Signed By Date
4/15/2017
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