Pharmacy Details

HIGHLAND PARK CVS, L.L.C. - information as of 5/25/2025 1:59:51 AM

Name
HIGHLAND PARK CVS, L.L.C.

Address

DBA: CVS/PHARMACY # 06452
1005 W JACKSON ST
MORTON, IL 61550

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	CAH141309-00	CARLE EUREKA HOSPITAL		Critical Access Hospital	101 SOUTH MAJOR STREET		EUREKA	IL	04/01/2021	08/23/2024	10/23/2024 6:05 PM
Details	CH051833A	Heartland Community Health Clinic DBA: Heartland Health Services	Garden	HRSA-Funded Health Center	1701 W Garden St		Peoria	IL	07/01/2019		7/1/2019 12:05 AM
Details	DSH140067	SAINT FRANCIS MEDICAL CENTER		Disproportionate Share Hospital	530 NE GLEN OAK AVENUE		PEORIA	IL	10/01/2013		7/12/2013 8:52 AM
Details	DSH140239	Javon Bea Hospital		Disproportionate Share Hospital	8201 E Riverside Blvd		Rockford	IL	07/01/2021		7/1/2021 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 # 06452 1005 W JACKSON ST MORTON, IL 61550	3/28/2013 4:21 PM
Details	Name	Insert			HIGHLAND PARK CVS, L.L.C.	3/28/2013 4:21 PM