Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05662E ALIVIO MEDICAL CENTER, INC

Covered Entity Details

Entity Name

ALIVIO MEDICAL CENTER, INC

Subdivision Name

Little Village Lawndale Community High School Campus

Type

HRSA-Funded Health Center

340B ID

CH05662E

Entity Address

3120 S Kostner Ave
Chicago, IL 60623-4842

Grant Number

H80CS00116

Participating Start Date

7/1/2013

Last Recertification Date

2/26/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 05356
4710 S WESTERN AVE
CHICAGO, IL 60609

Pharmacy Comments

Contract Details

Approval Date

4/17/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

ESTHER CORPUZ, CHIEF EXECUTIVE OFFICER
(312) 829-6304

Contract Pharmacy Representative

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

Signed By Date

4/17/2024

340B Drug Pricing Program Database