340B Drug Pricing Program Database

Pharmacy Name

PHARMBLUE ILLINOIS LLC

Pharmacy Address

2960 CHARTRES ST
SUITE 100
LA SALLE, IL 61301-1097

Pharmacy Comments

Approval Date

6/15/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Jerome Montgomery, Executive Director
(773) 426-5997

Contract Pharmacy Representative

PharmBlue, LLC
Joseph P. Pohl III, CEO
(724) 779-4720 Ext: 033

Signed By Date

4/13/2020