Pharmacy Details

HIGHLAND PARK CVS, L.L.C. - information as of 5/2/2025 12:25:31 AM

Name
HIGHLAND PARK CVS, L.L.C.

Address

DBA: CVS/PHARMACY # 08548
2454 S. ALPINE RD.
ROCKFORD, IL 61108

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	DSH140228	SWEDISH AMERICAN HOSPITAL		Disproportionate Share Hospital	1401 E STATE ST		ROCKFORD	IL	09/25/2020	04/19/2022	4/19/2022 10:35 AM
Details	DSH140239	Javon Bea Hospital		Disproportionate Share Hospital	8201 E Riverside Blvd		Rockford	IL	10/01/2015	07/27/2016	7/29/2016 9:03 AM
Details	DSH140239	Javon Bea Hospital		Disproportionate Share Hospital	8201 E Riverside Blvd		Rockford	IL	01/01/2020	07/14/2022	7/17/2022 11:12 PM
Details	DSH520066	MERCY HEALTH SYSTEM CORPORATION		Disproportionate Share Hospital	1000 MINERAL POINT AVE		JANESVILLE	WI	07/01/2020	07/06/2023	7/11/2023 12:38 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Comments	Insert				3/28/2013 4:21 PM
Details	Is Deleted	Insert			False	3/28/2013 4:21 PM
Addresses	Pharmacy Address	Insert			HIGHLAND PARK CVS, L.L.C. DBA: CVS/PHARMACY # 08548 2454 S. ALPINE RD. ROCKFORD, IL 61108	3/28/2013 4:21 PM
Details	Name	Insert			HIGHLAND PARK CVS, L.L.C.	3/28/2013 4:21 PM