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OPTION CARE ENTERPRISES, INC.
HM1595 Ann and Robert H. Lurie Children's Hospital of Chicago
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Covered Entity Details
Entity Name
Ann and Robert H. Lurie Children's Hospital of Chicago
Subdivision Name
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM1595
Entity Address
225 E Chicago Ave
CHICAGO, IL 60611
Grant Number
H30MC24052
Participating Start Date
7/1/2000
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
OPTION CARE ENTERPRISES, INC.
Pharmacy Address
DBA OPTION CARE
870 N ARLINGTON HEIGHTS RD
STE 102
ITASCA, IL 60143-1411
Pharmacy Comments
Contract Details
Approval Date
4/5/2018
Contract Begin Date
7/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jenny Elhadary, VP Clinical Services
(312) 227-4161
Contract Pharmacy Representative
Option Care
Derek Bilyk, Program Manager, Health Systems
(224) 813-1283
Signed By Date
4/5/2018
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