Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05276B CRUSADERS CENTRAL CLINIC ASSOCIATION

Covered Entity Details

Entity Name

CRUSADERS CENTRAL CLINIC ASSOCIATION

Subdivision Name

Crusader Clinic on Broadway

Type

HRSA-Funded Health Center

340B ID

CH05276B

Entity Address

1100 Broadway
Rockford, IL 61104-1429

Grant Number

H80CS00113

Participating Start Date

7/1/1997

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 02828
1602 KISHWAUKEE ST
ROCKFORD, IL 61104

Pharmacy Comments

Contract Details

Approval Date

7/7/2023

Contract Begin Date

10/1/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/19/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

Samuel Miller, President/CEO
(815) 490-1600

Contract Pharmacy Representative

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

Signed By Date

7/7/2023

340B Drug Pricing Program Database