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WALGREEN CO
CH051050 CHICAGO FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CHICAGO FAMILY HEALTH CENTER, INC.
Subdivision Name
CHICAGO FAMILY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH051050
Entity Address
9119 S Exchange Ave
Chicago, IL 60617-4225
Grant Number
H80CS00514
Participating Start Date
1/1/1998
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO
Pharmacy Address
DBA WALGREENS
4400 STATE RD 19
WINDSOR, WI 53598
Pharmacy Comments
Contract Details
Approval Date
5/31/2012
Contract Begin Date
5/31/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/27/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Warren J. Brodine, Chief Executive Officer
(773) 768-5000 Ext: 1001
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
5/23/2012
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