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SWEDISH COVENANT HEALTH
CH053210 ERIE FAMILY HEALTH CENTER, INC.
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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
SWEDISH COVENANT HEALTH
Pharmacy Address
DBA FOSTER MEDICAL PAVILION PHARMACY
5215 N CALIFORNIA AVE STE F103
CHICAGO, IL 60625
Pharmacy Comments
Contract Details
Approval Date
10/10/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/13/2016
Agreement registered in error
Contacts
Covered Entity Signing Official
Lee Francis, President & CEO
(312) 432-7394
Contract Pharmacy Representative
Changwoo Lee, Pharmacy Manager
(773) 989-6280
Signed By Date
10/10/2013
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