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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05744V PCC COMMUNITY WELLNESS CENTER
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Covered Entity Details
Entity Name
PCC COMMUNITY WELLNESS CENTER
Subdivision Name
PCC Austin Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH05744V
Entity Address
5461 W Lake St
Chicago, IL 60644-2343
Grant Number
H80CS00276
Participating Start Date
1/1/2025
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
WALGREENS # 16525
5401 S WENTWORTH AVE
SUITE 5A1
CHICAGO, IL 60609
Pharmacy Comments
Contract Details
Approval Date
4/14/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Alyssa Sianghio, Chief Executive Officer
(708) 383-1113
Contract Pharmacy Representative
Walgreens
Karl Meehan, Vice President, Health Systems Programs
(847) 315-2663
Signed By Date
4/14/2025
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