Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CHC24098-01 SOUTHERN ILLINOIS UNIVERSITY

Covered Entity Details

Entity Name

SOUTHERN ILLINOIS UNIVERSITY

Subdivision Name

SIU Center for Family Medicine-Quincy

Type

HRSA-Funded Health Center

340B ID

CHC24098-01

Entity Address

612 N 11TH ST
QUINCY, IL 62301-2662

Grant Number

H80CS24098

Participating Start Date

1/1/2016

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 04219
206 S. WALL ST.
CARBONDALE, IL 62901

Pharmacy Comments

Contract Details

Approval Date

1/10/2025

Contract Begin Date

4/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Iris Elenora Wesley, CEO
(217) 757-8116

Contract Pharmacy Representative

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

Signed By Date

1/10/2025

340B Drug Pricing Program Database