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WALGREEN CO.
FP606148 INFANT WELFARE SOCIETY OF CHICAGO
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Covered Entity Details
Entity Name
INFANT WELFARE SOCIETY OF CHICAGO
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP606148
Entity Address
3600 WEST FULLERTON
CHICAGO, IL 60647
Grant Number
FPHPA056139
Participating Start Date
1/1/1998
Last Recertification Date
5/6/2024
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS #15992
2500 N CLARK ST
CHICAGO, IL 60614
Pharmacy Comments
Contract Details
Approval Date
4/13/2016
Contract Begin Date
7/1/2016
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JOANNE LECK, DIRECTOR OF Compliance
(773) 782-5022
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/13/2016
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