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WALGREEN CO.
CH059110 FRIEND FAMILY HEALTH CENTER, INC
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Covered Entity Details
Entity Name
FRIEND FAMILY HEALTH CENTER, INC
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH059110
Entity Address
800 EAST 55TH STREET
CHICAGO, IL 60615
Grant Number
H80CS00120
Participating Start Date
4/1/2000
Last Recertification Date
3/10/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS SPECIALTY PHARMACY #16498
2351 E 71ST ST
SUITE A
CHICAGO, IL 60649
Pharmacy Comments
Contract Details
Approval Date
1/12/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Verneda Bachus, CEO
(773) 702-2193
Contract Pharmacy Representative
Walgreens
Jason Morrison, Senior Analyst
(847) 964-8707
Signed By Date
1/12/2018
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