Pharmacy Details

HIGHLAND PARK CVS, L.L.C. - information as of 5/20/2025 1:28:50 AM

Name
HIGHLAND PARK CVS, L.L.C.

Address

DBA: CVS/PHARMACY # 08529
3134 11TH STREET
ROCKFORD, IL 61109

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	DSH140018	MOUNT SINAI HOSPITAL MEDICAL CENTER		Disproportionate Share Hospital	2750 W 15TH PLACE		CHICAGO	IL	01/01/2023		1/1/2023 12:01 AM
Details	DSH140228	SWEDISH AMERICAN HOSPITAL		Disproportionate Share Hospital	1401 E STATE ST		ROCKFORD	IL	09/25/2020		9/25/2020 4:32 PM
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		1/1/2020 12:05 AM
Details	DSH520066	MERCY HEALTH SYSTEM CORPORATION		Disproportionate Share Hospital	1000 MINERAL POINT AVE		JANESVILLE	WI	07/01/2020	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

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 # 08529 3134 11TH STREET ROCKFORD, IL 61109	3/28/2013 4:21 PM
Details	Name	Insert			HIGHLAND PARK CVS, L.L.C.	3/28/2013 4:21 PM