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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CAH141337-00 OSF Saint Clare Medical Center
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Covered Entity Details
Entity Name
OSF Saint Clare Medical Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141337-00
Entity Address
530 Park Ave East
Princeton, IL 61356
Medicare Provider Number
141337
Participating Start Date
1/1/2013
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
DBA: WALGREENS # 05511
500 S. MAIN STREET
KEWANEE, IL 61443
Pharmacy Comments
Contract Details
Approval Date
10/8/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diane L. McGrew, President
(309) 655-2850
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
10/8/2021
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