340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
UNIVERSITY OF ILLINOIS MILE SQUARE PHARM
CH05758K University of Illinois
Print
Covered Entity Details
Entity Name
University of Illinois
Subdivision Name
Mile Square Health Center at South Shore
Type
HRSA-Funded Health Center
340B ID
CH05758K
Entity Address
7131 S Jeffery Blvd
Chicago, IL 60649-2497
Grant Number
H80CS00324
Participating Start Date
1/1/2013
Last Recertification Date
1/26/2017
Entity Termination Date
1/29/2018
Pharmacy Details
Pharmacy Name
UNIVERSITY OF ILLINOIS MILE SQUARE PHARM
Pharmacy Address
1220 S WOOD ST STE 1045
CHICAGO, IL 60608
Pharmacy Comments
Contract Details
Approval Date
3/13/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
LaMorris Perry, Associate Executive Director
(312) 413-4153
Contract Pharmacy Representative
University of Illinois Mile Square
Rhondi Inman, Assistant Director
(312) 413-1767
Signed By Date
1/14/2013
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