Contract Pharmacy Details

WALGREEN CO.
FP606148 INFANT WELFARE SOCIETY OF CHICAGO

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

5/6/2025

Pharmacy Details

Pharmacy Name

WALGREEN CO.

Pharmacy Address

DBA: WALGREENS # 03948
5140 W DIVERSEY AVE
CHICAGO, IL 60639

Pharmacy Comments

Contract Details

Approval Date

7/13/2017

Contract Begin Date

10/1/2017

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

7/13/2017

340B Drug Pricing Program Database