Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
FP60462 Planned Parenthood of Illinois

Covered Entity Details

Entity Name

Planned Parenthood of Illinois

Subdivision Name

Orland Park Health Center

Type

Family Planning (Title X only)

340B ID

FP60462

Entity Address

14470 South La Grange Road
Suite 101
Orland Park, IL 60462

Grant Number

FPHPA006456-01-00

Participating Start Date

1/1/2016

Last Recertification Date

6/7/2019

Entity Termination Date

1/6/2020

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 04503
9301 WAUKEGAN ROAD
MORTON GROVE, IL 60053

Pharmacy Comments

Contract Details

Approval Date

10/1/2019

Contract Begin Date

1/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/6/2020
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Richard Powell, Chief Financial Officer
(312) 592-6878

Contract Pharmacy Representative

Walgreens
Brenda Motley, Operations Analyst
(847) 964-7033

Signed By Date

10/1/2019

340B Drug Pricing Program Database