340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
LAWRENCE HOUSE DRUG CO.
CH05190A Heartland Alliance Health, INC.
Print
Covered Entity Details
Entity Name
Heartland Alliance Health, INC.
Subdivision Name
Heartland Alliance Health James West Clinic
Type
HRSA-Funded Health Center
340B ID
CH05190A
Entity Address
932 W WASHINGTON BLVD
STE 224
Chicago, IL 60607-2217
Grant Number
H80CS00111
Participating Start Date
4/1/2014
Last Recertification Date
1/29/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
LAWRENCE HOUSE DRUG CO.
Pharmacy Address
1026 W. LAWRENCE AVE.
CHICAGO, IL 60640
Pharmacy Comments
Contract Details
Approval Date
10/29/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/12/2018
Agreement registered in error
Contacts
Covered Entity Signing Official
karen Batia, Executive Director
(773) 751-4104
Contract Pharmacy Representative
Lawrence House Pharmacy
JOSEPH ROGOWIN, OWNER - PRESIDENT
(773) 561-2288
Signed By Date
10/29/2014
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