Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05103A TCA HEALTH, INC. NFP

Covered Entity Details

Entity Name

TCA HEALTH, INC. NFP

Subdivision Name

CARVER MILITARY ACADEMY/TCA HLTH,INC

Type

HRSA-Funded Health Center

340B ID

CH05103A

Entity Address

13100 S Doty Ave
Chicago, IL 60827-1597

Grant Number

H80CS00109

Participating Start Date

4/1/2020

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 04306
1633 W. 95TH STREET
CHICAGO, IL 60643

Pharmacy Comments

Contract Details

Approval Date

1/14/2022

Contract Begin Date

4/1/2022

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

VERONICA CLARKE, CEO
(773) 995-6300 Ext: 213

Contract Pharmacy Representative

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

Signed By Date

1/14/2022

340B Drug Pricing Program Database