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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05744K PCC COMMUNITY WELLNESS CENTER
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Covered Entity Details
Entity Name
PCC COMMUNITY WELLNESS CENTER
Subdivision Name
PCC Walk-In Wellness Center at West Suburban Medical Center
Type
HRSA-Funded Health Center
340B ID
CH05744K
Entity Address
3 Erie Ct STE 1300
Oak Park, IL 60302-2519
Grant Number
H80CS00276
Participating Start Date
7/1/2013
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
DBA: WALGREENS # 03779
100 LAKE ST
MAYWOOD, IL 60153
Pharmacy Comments
Pharmacy correction, changed in error on 3/28/2013, see history for details.
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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