Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
FP604668 AUNT MARTHA'S YOUTH SERVICE CENTER, INC.

Covered Entity Details

Entity Name

AUNT MARTHA'S YOUTH SERVICE CENTER, INC.

Subdivision Name

Type

Family Planning (Title X only)

340B ID

FP604668

Entity Address

233 WEST JOE ORR ROAD
CHICAGO HEIGHTS, IL 60411

Grant Number

FPHPA056060

Participating Start Date

1/1/1998

Last Recertification Date

5/10/2024

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 03929
1801 INGALLS AVE
JOLIET, IL 60435

Pharmacy Comments

Contract Details

Approval Date

4/14/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Audrey Pennington, Chief Operating Officer
(708) 747-7100

Contract Pharmacy Representative

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

Signed By Date

4/14/2017

340B Drug Pricing Program Database