Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH0512780 Tapestry 360 Health

Covered Entity Details

Entity Name

Tapestry 360 Health

Subdivision Name

Tapestry 360 Health - Administration

Type

HRSA-Funded Health Center

340B ID

CH0512780

Entity Address

1301 W Devon Ave
Chicago, IL 60660

Grant Number

H80CS00215

Participating Start Date

1/1/2004

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 03395
3401 W ROOSEVELT RD
CHICAGO, IL 60624

Pharmacy Comments

Contract Details

Approval Date

7/9/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/12/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Gwenn Rausch, CEO
(773) 296-7587

Contract Pharmacy Representative

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

Signed By Date

7/9/2019

340B Drug Pricing Program Database