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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05642AK LAWNDALE CHRISTIAN HEALTH CENTER
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Covered Entity Details
Entity Name
LAWNDALE CHRISTIAN HEALTH CENTER
Subdivision Name
Temporary Site - New Life Little Village
Type
HRSA-Funded Health Center
340B ID
CH05642AK
Entity Address
2634 S Pulaski Rd
Chicago, IL 60623-4409
Grant Number
H80CS00725
Participating Start Date
7/1/2024
Last Recertification Date
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
DBA: WALGREENS # 05076
6800 OGDEN AVE
BERWYN, IL 60402
Pharmacy Comments
Contract Details
Approval Date
7/5/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2025
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
7/5/2024
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