340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
CH052130 CHRISTOPHER RURAL HEALTH PLANNING CORP.
Print
Covered Entity Details
Entity Name
CHRISTOPHER RURAL HEALTH PLANNING CORP.
Subdivision Name
REA CLINIC
Type
HRSA-Funded Health Center
340B ID
CH052130
Entity Address
4241 HWY 14 WEST
CHRISTOPHER, IL 62822
Grant Number
H80CS00726
Participating Start Date
10/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06887
915 N. MARKET ST.
MOUNT CARMEL, IL 62863
Pharmacy Comments
Contract Details
Approval Date
7/18/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
KIMBERLY A. MITROKA, PRESIDENT/CEO
(618) 724-2436 Ext: 1602
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/18/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session