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WALGREEN CO.
CH051516A Greater Family Health
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Covered Entity Details
Entity Name
Greater Family Health
Subdivision Name
450 Dundee Ave
Type
HRSA-Funded Health Center
340B ID
CH051516A
Entity Address
450 Dundee Ave
Elgin, IL 60120-4205
Grant Number
H80CS00288
Participating Start Date
4/1/2013
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
DBA WALGREENS #11367
28895 W. IL ROUTE 120
LAKEMOOR, IL 60051
Pharmacy Comments
Contract Details
Approval Date
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jason Carey, CFO
(847) 608-6053
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2018
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