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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
RRC140185-00 MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
MEMORIAL HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC140185-00
Entity Address
4500 MEMORIAL DRIVE
BELLEVILLE, IL 62226
Medicare Provider Number
140185
Participating Start Date
4/1/2024
Last Recertification Date
Entity Termination Date
7/1/2024
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
DBA: WALGREENS # 03136
1201 CAMP JACKSON
CAHOKIA, IL 62206
Pharmacy Comments
Contract Details
Approval Date
2/21/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Susan Koesterer, VP, Chief Financial Officer
(314) 653-5715
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
1/15/2024
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