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ALLCARE DISCOUNT PHARMACY
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
ALLCARE DISCOUNT PHARMACY
Pharmacy Address
2750 W NORTH AVE
SUITE 207
CHICAGO, IL 60647
Pharmacy Comments
Contract Details
Approval Date
1/9/2017
Contract Begin Date
3/20/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Lee Francis, President & CEO
(312) 432-7394
Contract Pharmacy Representative
Hiren Zala, Manager
(312) 432-4510
Signed By Date
1/9/2017
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