Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
HV60120 OPEN DOOR CLINIC OF GREATER ELGIN

Covered Entity Details

Entity Name

OPEN DOOR CLINIC OF GREATER ELGIN

Subdivision Name

Type

Ryan White Part C

340B ID

HV60120

Entity Address

1665 Larkin Ave
ELGIN, IL 60123

Grant Number

H76HA01704

Participating Start Date

10/1/2004

Last Recertification Date

2/28/2022

Entity Termination Date

4/1/2023

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #04505
4025 N. SHERIDAN RD.
CHICAGO, IL 60613

Pharmacy Comments

Contract Details

Approval Date

4/6/2022

Contract Begin Date

7/1/2022

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2023
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Lee Hanson, Executive Director
(630) 329-7200

Contract Pharmacy Representative

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

Signed By Date

4/6/2022

340B Drug Pricing Program Database