Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
DSH140048 ADVOCATE SOUTHLAND HEALTH NETWORK

Covered Entity Details

Entity Name

ADVOCATE SOUTHLAND HEALTH NETWORK

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH140048

Entity Address

2320 E. 93RD ST.
CHICAGO, IL 60617

Medicare Provider Number

140048

Participating Start Date

10/1/2015

Last Recertification Date

8/14/2024

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA: WALGREENS # 05033
2015 E 79TH ST
CHICAGO, IL 60649

Pharmacy Comments

Contract Details

Approval Date

1/24/2017

Contract Begin Date

4/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

11/6/2024
Pharmacy closed

Contacts

Covered Entity Signing Official

Maureen A. Morrison, Vice President, Finance
(773) 967-5050 Ext: 5050

Contract Pharmacy Representative

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

Signed By Date

1/24/2017

340B Drug Pricing Program Database