Pharmacy Details

HIGHLAND PARK CVS, L.L.C. - information as of 5/25/2025 2:02:50 AM

Name
HIGHLAND PARK CVS, L.L.C.

Address

DBA CVS/PHARMACY #18097
6410 E STATE ST
ROCKFORD, IL 61108-3008

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH052760	CRUSADERS CENTRAL CLINIC ASSOCIATION	Crusader Clinic on West State Street	HRSA-Funded Health Center	1200 W State St		Rockford	IL	07/01/2022		7/1/2022 12:01 AM
Details	DSH140228	SWEDISH AMERICAN HOSPITAL		Disproportionate Share Hospital	1401 E STATE ST		ROCKFORD	IL	08/03/2021		8/3/2021 1:01 PM
Details	DSH140239	Javon Bea Hospital		Disproportionate Share Hospital	8201 E Riverside Blvd		Rockford	IL	10/01/2021		10/1/2021 12:01 AM
Details	DSH520066	MERCY HEALTH SYSTEM CORPORATION		Disproportionate Share Hospital	1000 MINERAL POINT AVE		JANESVILLE	WI	04/01/2022	01/01/2024	1/1/2024 12:01 AM
Details	RRC520066-00	MERCY HEALTH SYSTEM CORPORATION		Rural Referral Center	1000 MINERAL POINT AVE		JANESVILLE	WI	01/01/2024		1/1/2024 12:01 AM
Details	RWII61265	The Project of the Quad Cities		Ryan White Part B	4101 John Deere Road	Suite 3	Moline	IL	06/03/2021		6/3/2021 1:03 PM
Details	RWII61265A	The Project of the Quad Cities		Ryan White Part B	4101 John Deere Road		Moline	IL	06/03/2021		6/3/2021 1:12 PM
Details	STD61265	The Project of the Quad Cities		Sexually Transmitted Diseases	4101 John Deere Road	Suite 3	Moline	IL	06/03/2021	06/01/2024	6/1/2024 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				9/17/2020 10:23 PM
Details	Is Deleted	Insert			False	9/17/2020 10:23 PM
Addresses	Pharmacy Address	Insert			HIGHLAND PARK CVS, L.L.C. DBA CVS/PHARMACY #18097 6410 E STATE ST ROCKFORD, IL 61108-3008	9/17/2020 10:23 PM
Details	Name	Insert			HIGHLAND PARK CVS, L.L.C.	9/17/2020 10:23 PM