340B Drug Pricing Program Database

Pharmacy Name

ADVENTIST BOLINGBROOK HOSPITAL

Pharmacy Address

DBA UCHICAGO MEDICINE ADVENTHEALTH PHARM
500 REMINGTON BLVD
BOLINGBROOK, IL 60440

Pharmacy Comments

Approval Date

7/1/2020

Contract Begin Date

7/28/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

3/31/2022
Business decision by covered entity and/or pharmacy

Covered Entity Signing Official

Vladimir Radivojevic, President & CEO
(630) 545-7258

Contract Pharmacy Representative

AMITA Health
Myra Priser, Pharmacy Manager
(630) 856-8126

Signed By Date

7/1/2020