340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DEITCH PHARMACY INC
CH05321D ERIE FAMILY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
ERIE FAMILY HEALTH CENTER, INC.
Subdivision Name
Erie Westside Health Center at Laura S. Ward Elementary
Type
HRSA-Funded Health Center
340B ID
CH05321D
Entity Address
646 N Lawndale Ave
Chicago, IL 60624
Grant Number
H80CS00115
Participating Start Date
1/1/1997
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
DEITCH PHARMACY INC
Pharmacy Address
1800 W CHICAGO AVE
CHICAGO, IL 60622
Pharmacy Comments
Contract Details
Approval Date
10/20/2010
Contract Begin Date
11/1/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/29/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/19/2010
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