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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
HV616561 University of IL College of Medicine at Peoria
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Covered Entity Details
Entity Name
University of IL College of Medicine at Peoria
Subdivision Name
Positive Health Solutions
Type
Ryan White Part C
340B ID
HV616561
Entity Address
222 NE Monroe
Suite 904
PEORIA, IL 61602
Grant Number
H76HA00519
Participating Start Date
10/1/2002
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
WALGREENS # 16525
5401 S WENTWORTH AVE
SUITE 5A1
CHICAGO, IL 60609
Pharmacy Comments
Contract Details
Approval Date
7/13/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Joanna Groden, Vice Chancellor for Research
(312) 996-2862
Contract Pharmacy Representative
Walgreens
Aliena Jaffri, 340b Client Relationship Analyst
(847) 964-6103
Signed By Date
7/13/2022
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