Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH051278Q Tapestry 360 Health

Covered Entity Details

Entity Name

Tapestry 360 Health

Subdivision Name

Tapestry 360 Health - Albany Park

Type

HRSA-Funded Health Center

340B ID

CH051278Q

Entity Address

3737 W LAWRENCE AVE
CHICAGO, IL 60625-5746

Grant Number

H80CS00215

Participating Start Date

4/1/2016

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

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

Pharmacy Address

DBA WALGREENS SPECIALTY PHARMACY #04505
4025 N. SHERIDAN RD.
CHICAGO, IL 60613

Pharmacy Comments

Contract Details

Approval Date

10/17/2017

Contract Begin Date

1/1/2018

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2024
CE terminated due to audit finding

Contacts

Covered Entity Signing Official

Gwenn Rausch, CEO
(773) 296-7587

Contract Pharmacy Representative

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

Signed By Date

10/17/2017

340B Drug Pricing Program Database