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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH057580 University of Illinois
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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 # 03283
3325 N. MAIN STREET
ROCKFORD, IL 61103
Pharmacy Comments
Contract Details
Approval Date
7/14/2021
Contract Begin Date
10/1/2021
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
University of Illinois Mile Square
Rhondi Inman, Assistant Director
(312) 413-1767
Signed By Date
7/14/2021
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