Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH052760 CRUSADERS CENTRAL CLINIC ASSOCIATION

Covered Entity Details

Entity Name

CRUSADERS CENTRAL CLINIC ASSOCIATION

Subdivision Name

Crusader Clinic on West State Street

Type

HRSA-Funded Health Center

340B ID

CH052760

Entity Address

1200 W State St
Rockford, IL 61102-2112

Grant Number

H80CS00113

Participating Start Date

12/1/1992

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 02828
1602 KISHWAUKEE ST
ROCKFORD, IL 61104

Pharmacy Comments

Contract Details

Approval Date

11/7/2011

Contract Begin Date

11/7/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/19/2025
Pharmacy closed

Contacts

Covered Entity Signing Official

GORDON EGGERS JR., CEO
(815) 490-1616

Contract Pharmacy Representative

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

Signed By Date

10/28/2011

340B Drug Pricing Program Database