Pharmacy Details

HIGHLAND PARK CVS, L.L.C. - information as of 4/29/2025 5:21:17 AM

Name
HIGHLAND PARK CVS, L.L.C.

Address

DBA: CVS/PHARMACY # 08508
3156 WEST 103RD STREET
CHICAGO, IL 60655

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	DSH140119	RUSH UNIVERSITY MEDICAL CENTER		Disproportionate Share Hospital	1653 W CONGRESS PKWY		CHICAGO	IL	01/01/2021	06/20/2023	7/14/2023 3:43 PM
Details	DSH140158	Insight Hospital and Medical Center Chicago	MAIN SITE	Disproportionate Share Hospital	2525 S. MICHIGAN AVENUE		CHICAGO	IL	07/01/2022	06/20/2023	1/12/2024 9:38 AM
Details	DSH140179	OSF Little Company of Mary Medical Center		Disproportionate Share Hospital	2800 WEST 95TH STREET		EVERGREEN PARK	IL	01/01/2022	06/20/2023	7/10/2023 3:37 PM
Details	RRC140179-00	OSF LITTLE COMPANY OF MARY MEDICAL CENTER		Rural Referral Center	2800 WEST 95TH STREET		EVERGREEN PARK	IL	10/01/2020	10/01/2021	10/1/2021 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:20 PM
Details	Is Deleted	Insert			False	3/28/2013 4:20 PM
Addresses	Pharmacy Address	Insert			HIGHLAND PARK CVS, L.L.C. DBA: CVS/PHARMACY # 08508 3156 WEST 103RD STREET CHICAGO, IL 60655	3/28/2013 4:20 PM
Details	Name	Insert			HIGHLAND PARK CVS, L.L.C.	3/28/2013 4:20 PM