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WALGREEN CO.
CH051050 CHICAGO FAMILY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
CHICAGO FAMILY HEALTH CENTER, INC.
Subdivision Name
CHICAGO FAMILY HEALTH CENTER, INC.
Type
HRSA-Funded Health Center
340B ID
CH051050
Entity Address
9119 S Exchange Ave
Chicago, IL 60617-4225
Grant Number
H80CS00514
Participating Start Date
1/1/1998
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA: WALGREENS # 07250
2345 W 103RD STREET
CHICAGO, IL 60643-2423
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
Eric Boklage, Chief Administrative Officer
(773) 768-5000 Ext: 1092
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/12/2018
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