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BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH05972AR AUNT MARTHA'S HEALTH & WELLNESS, INC.
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Covered Entity Details
Entity Name
AUNT MARTHA'S HEALTH & WELLNESS, INC.
Subdivision Name
South Suburban Homeless Outreach Center
Type
HRSA-Funded Health Center
340B ID
CH05972AR
Entity Address
15420 Dixie Hwy.Suite G
Harvey, IL 60426-3479
Grant Number
H80CS00685
Participating Start Date
4/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BOND DRUG COMPANY OF ILLINOIS, L.L.C.
Pharmacy Address
DBA: WALGREENS # 05193
3145 W 147TH ST
POSEN, IL 60469
Pharmacy Comments
Contract Details
Approval Date
10/16/2017
Contract Begin Date
1/1/2018
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
10/16/2017
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