Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH053210 ERIE FAMILY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

ERIE FAMILY HEALTH CENTER, INC.

Subdivision Name

ERIE WEST TOWN HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH053210

Entity Address

1701 W Superior St
Chicago, IL 60622

Grant Number

H80CS00115

Participating Start Date

1/1/1997

Last Recertification Date

2/23/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 04542
5625 N. RIDGE AVE
CHICAGO, IL 60660-3434

Pharmacy Comments

Contract Details

Approval Date

1/6/2015

Contract Begin Date

4/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Lee Francis, President & CEO
(312) 432-7394

Contract Pharmacy Representative

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

Signed By Date

1/6/2015

340B Drug Pricing Program Database