Pharmacy Details

HIGHLAND PARK CVS, L.L.C. - information as of 5/27/2025 12:54:14 PM

Name
HIGHLAND PARK CVS, L.L.C.

Address

DBA: CVS/PHARMACY # 06386
1421 STATE ST.
LAWRENCEVILLE, IL 62439

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	CAH141343-00	CRAWFORD HOSPITAL DISTRICT D/B/A CRAWFORD MEMORIAL HOSPITAL		Critical Access Hospital	1000 N. ALLEN STREET		ROBINSON	IL	07/01/2023		7/1/2023 12:01 AM
Details	CAH141344-00	LAWRENCE COUNTY MEMORIAL HOSPITAL		Critical Access Hospital	2200 STATE STREET		LAWRENCEVILLE	IL	07/01/2016		10/5/2016 4:57 PM
Details	CH053320	SIHF Healthcare	SIHF Healthcare	HRSA-Funded Health Center	2041 Goose Lake Rd,		Sauget	IL	01/01/2021		1/1/2021 12:01 AM
Details	FQHCLA402	Good Samaritan Family Health Center Inc.	Family Health Center	Health Center Program Look-Alike	1027 Washington Avenue	Suite B	Vincennes	IN	07/01/2020		7/1/2020 12:01 AM
Details	RRC150042-00	GOOD SAMARITAN HOSPITAL		Rural Referral Center	520 S. Seventh St.		VINCENNES	IN	07/01/2023		7/1/2023 12:01 AM
Details	SCH140147-00	RICHLAND MEMORIAL HOSPITAL		Sole Community Hospital	800 EAST LOCUST STREET		OLNEY	IL	04/01/2021		4/1/2021 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 # 06386 1421 STATE ST. LAWRENCEVILLE, IL 62439	3/28/2013 4:21 PM
Details	Name	Insert			HIGHLAND PARK CVS, L.L.C.	3/28/2013 4:21 PM