Contract Pharmacy Details

WALGREEN CO.
CH053210 ERIE FAMILY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

ERIE FAMILY HEALTH CENTER, INC.

Subdivision Name

ERIE WEST TOWN HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH053210

Entity Address

1701 W Superior St
Chicago, IL 60622

Grant Number

H80CS00115

Participating Start Date

1/1/1997

Last Recertification Date

2/23/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 09000
2001 N MILWAUKEE AVE
CHICAGO, IL 60647-4001

Pharmacy Comments

Contract Details

Approval Date

8/22/2011

Contract Begin Date

8/22/2011

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lee Francis, President & CEO
(312) 432-7394

Contract Pharmacy Representative

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

Signed By Date

7/25/2011

340B Drug Pricing Program Database