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UNIVERSITY OF ILLINOIS SCB PHARMACY
FP606121 UNIVERSITY OF ILLINOIS AT CHICAGO
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Covered Entity Details
Entity Name
UNIVERSITY OF ILLINOIS AT CHICAGO
Subdivision Name
CENTER FOR WOMEN'S HEALTH
Type
Family Planning (Title X only)
340B ID
FP606121
Entity Address
M/C 650
1801 W TAYLOR ST, #4C
CHICAGO, IL 60612
Grant Number
FPHPA056139
Participating Start Date
1/1/1998
Last Recertification Date
6/8/2015
Entity Termination Date
7/1/2016
Pharmacy Details
Pharmacy Name
UNIVERSITY OF ILLINOIS SCB PHARMACY
Pharmacy Address
DBA SCB PHARMACY
1009 S. WOOD ST.
SUITE 1025
CHICAGO, IL 60612
Pharmacy Comments
09/12/2013 - Deleted duplicate Pharmacy per OPA instructions. 09/06/2013 Corrected name and address, changed in error on 3/28/2013, refer to history for details.
Contract Details
Approval Date
8/5/2003
Contract Begin Date
8/5/2003
Carve-In Effective Date
Contract Comments
1/13/2010- UPDATED ADDRESS OF PHARMACY AT THE REQUEST OF CE (WAS 1855 WEST TAYLOR, MC648) AND ADDED CONTACT PERSON FOR PHARMACY
Contract Termination Date
Termination Reason
7/1/2016
Contacts
Covered Entity Signing Official
RAJIV GHOSH, ASSISTANT DIRECTOR OF FINANCE
(312) 996-0401
Contract Pharmacy Representative
Sami Labib, Assistant Director of Pharmacy
(312) 996-9600
Signed By Date
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