Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05642AA LAWNDALE CHRISTIAN HEALTH CENTER

Covered Entity Details

Entity Name

LAWNDALE CHRISTIAN HEALTH CENTER

Subdivision Name

Temporary Site - Gage Park

Type

HRSA-Funded Health Center

340B ID

CH05642AA

Entity Address

2411 W 55th St
Chicago, IL 60632-1553

Grant Number

H80CS00725

Participating Start Date

4/1/2024

Last Recertification Date

Entity Termination Date

10/1/2024

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 04938
4748 W NORTH AVE
CHICAGO, IL 60639

Pharmacy Comments

Contract Details

Approval Date

7/2/2024

Contract Begin Date

10/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2024
Covered Entity Terminated

Contacts

Covered Entity Signing Official

Christopher Robert Dons, Chief Financial Officer
(872) 588-3032

Contract Pharmacy Representative

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

Signed By Date

7/2/2024

340B Drug Pricing Program Database