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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05887D COUNTY OF LAKE
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Covered Entity Details
Entity Name
COUNTY OF LAKE
Subdivision Name
Belvidere Medical Building
Type
HRSA-Funded Health Center
340B ID
CH05887D
Entity Address
2400 Belvidere Rd
Waukegan, IL 60085-6165
Grant Number
H80CS00119
Participating Start Date
7/1/2001
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
DBA: WALGREENS # 03078
1811 BELVIDERE RD
WAUKEGAN, IL 60085
Pharmacy Comments
Contract Details
Approval Date
10/5/2005
Contract Begin Date
10/5/2005
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
7/27/2005
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