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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05744D PCC COMMUNITY WELLNESS CENTER
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Covered Entity Details
Entity Name
PCC COMMUNITY WELLNESS CENTER
Subdivision Name
PCC SOUTH FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH05744D
Entity Address
6201 Roosevelt Rd
Berwyn, IL 60402
Grant Number
H80CS00276
Participating Start Date
9/2/2008
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
DBA: WALGREENS # 03995
6 E NORTH AVE
NORTHLAKE, IL 60164
Pharmacy Comments
Contract Details
Approval Date
7/10/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Robert Urso, President & CEO
(708) 524-7686
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/10/2024
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