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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05276P CRUSADERS CENTRAL CLINIC ASSOCIATION
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Covered Entity Details
Entity Name
CRUSADERS CENTRAL CLINIC ASSOCIATION
Subdivision Name
Crusader Community Health Auburn Campus-A School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH05276P
Entity Address
1002 N Pierpont Ave
Rockford, IL 61101
Grant Number
H80CS00113
Participating Start Date
1/1/2015
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
DBA: WALGREENS # 04777
2525 S ALPINE ROAD
ROCKFORD, IL 61108
Pharmacy Comments
Contract Details
Approval Date
7/7/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
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
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