Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05887G COUNTY OF LAKE

Covered Entity Details

Entity Name

COUNTY OF LAKE

Subdivision Name

NORTH SHORE HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH05887G

Entity Address

1840 Green Bay Rd
Highland Park, IL 60035-3110

Grant Number

H80CS00119

Participating Start Date

7/1/2006

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 03273
655 ELM
HIGHLAND PARK, IL 60035

Pharmacy Comments

Contract Details

Approval Date

7/25/2006

Contract Begin Date

7/25/2006

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Contract Pharmacy Representative

Signed By Date

6/9/2006

340B Drug Pricing Program Database