Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH056420 LAWNDALE CHRISTIAN HEALTH CENTER

Covered Entity Details

Entity Name

LAWNDALE CHRISTIAN HEALTH CENTER

Subdivision Name

Lawndale Christian Health Center Main Clinic

Type

HRSA-Funded Health Center

340B ID

CH056420

Entity Address

3860 W Ogden Ave
Chicago, IL 60623-2460

Grant Number

H80CS00725

Participating Start Date

12/1/1992

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 11410
1627 N PULASKI RD
CHICAGO, IL 60639

Pharmacy Comments

Contract Details

Approval Date

11/7/2011

Contract Begin Date

11/7/2011

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

BRUCE MILLER, CEO
(872) 588-3012

Contract Pharmacy Representative

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

Signed By Date

11/10/2011

340B Drug Pricing Program Database