Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH057580 University of Illinois

Covered Entity Details

Entity Name

University of Illinois

Subdivision Name

University of Illinois Mile Square Health Center - IMD

Type

HRSA-Funded Health Center

340B ID

CH057580

Entity Address

1220 S. Wood Street
Chicago, IL 60608

Grant Number

H80CS00324

Participating Start Date

1/1/2000

Last Recertification Date

2/23/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 02903
5222 WEST MADISON ST
CHICAGO, IL 60644

Pharmacy Comments

Contract Details

Approval Date

4/3/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Michael Moss, Associate Vice Chancellor, Budget & Financial Analysis
(312) 996-0306

Contract Pharmacy Representative

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

Signed By Date

4/3/2020

340B Drug Pricing Program Database