Contract Pharmacy Details

BOND DRUG COMPANY OF ILLINOIS, L.L.C.
CH051278N Tapestry 360 Health

Covered Entity Details

Entity Name

Tapestry 360 Health

Subdivision Name

Tapestry 360 Health - C4 - Broadway

Type

HRSA-Funded Health Center

340B ID

CH051278N

Entity Address

5710 N Broadway St
Chicago, IL 60660-4302

Grant Number

H80CS00215

Participating Start Date

7/1/2015

Last Recertification Date

1/31/2024

Entity Termination Date

4/1/2025

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

4/1/2025
Covered Entity Terminated

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