Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05190A Heartland Alliance Health, INC.

Covered Entity Details

Entity Name

Heartland Alliance Health, INC.

Subdivision Name

Heartland Alliance Health James West Clinic

Type

HRSA-Funded Health Center

340B ID

CH05190A

Entity Address

932 W WASHINGTON BLVD
STE 224
Chicago, IL 60607-2217

Grant Number

H80CS00111

Participating Start Date

4/1/2014

Last Recertification Date

1/29/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 04542
5625 N. RIDGE AVE
CHICAGO, IL 60660-3434

Pharmacy Comments

Contract Details

Approval Date

4/2/2019

Contract Begin Date

7/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Ed Stellon, Executive Director
(773) 751-4109

Contract Pharmacy Representative

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

Signed By Date

4/2/2019

340B Drug Pricing Program Database