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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05175AJ ACCESS COMMUNITY HEALTH NETWORK
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Covered Entity Details
Entity Name
ACCESS COMMUNITY HEALTH NETWORK
Subdivision Name
ACCESS Blue Island Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH05175AJ
Entity Address
13000 Maple Ave
Blue Island, IL 60406-2318
Grant Number
H80CS00834
Participating Start Date
10/1/2003
Last Recertification Date
2/13/2025
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
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mahomed Ouedraogo, Chief Executive Officer
(312) 526-2360
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
7/15/2024
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