Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
DSH140088 THE UNIVERSITY OF CHICAGO MEDICAL CENTER

Covered Entity Details

Entity Name

THE UNIVERSITY OF CHICAGO MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH140088

Entity Address

5841 S. MARYLAND AVE.
CHICAGO, IL 60637

Medicare Provider Number

140088

Participating Start Date

10/1/2003

Last Recertification Date

8/29/2024

Pharmacy Details

Pharmacy Name

BOND DRUG COMPANY OF ILLINOIS, L.L.C.

Pharmacy Address

DBA: WALGREENS # 02558
14700 HALSTED ST
HARVEY, IL 60426

Pharmacy Comments

Contract Details

Approval Date

10/17/2018

Contract Begin Date

10/17/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/29/2021
Pharmacy closed

Contacts

Covered Entity Signing Official

Richard Walter Silveria, EVP and CFO
(773) 834-2802

Contract Pharmacy Representative

Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663

Signed By Date

10/17/2018

340B Drug Pricing Program Database