340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WALGREEN CO.
CH05321CP ERIE FAMILY HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
ERIE FAMILY HEALTH CENTER, INC.
Subdivision Name
Erie Waukegan Health Center
Type
HRSA-Funded Health Center
340B ID
CH05321CP
Entity Address
2323 Grand Ave
Waukegan, IL 60085
Grant Number
H80CS00115
Participating Start Date
10/1/2014
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 05829
2100 SHERIDAN RD
ZION, IL 60099
Pharmacy Comments
Contract Details
Approval Date
8/14/2014
Contract Begin Date
10/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/29/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Raluca Topor, 340B Operations Analyst
(847) 964-8308
Signed By Date
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