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HIGHLAND PARK CVS, L.L.C.
CAH141303-00 WARNER HOSPITAL AND HEALTH SERVICES
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Covered Entity Details
Entity Name
WARNER HOSPITAL AND HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141303-00
Entity Address
422 WEST WHITE ST.
CLINTON, IL 61727-2199
Medicare Provider Number
141303
Participating Start Date
9/28/2010
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06931
60 CLINTON PLAZA S.C.
CLINTON, IL 61727
Pharmacy Comments
Contract Details
Approval Date
4/3/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Paul Skowron, Chief Executive Officer
(217) 935-9571 Ext: 3201
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/3/2019
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