Contract Pharmacy Details

HIGHLAND PARK CVS, L.L.C.
CH071170 COMMUNITY HEALTH CARE, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CARE, INC.

Subdivision Name

Community Health Care, Inc. River Drive Clinic

Type

HRSA-Funded Health Center

340B ID

CH071170

Entity Address

500 W River Dr
Davenport, IA 52801

Grant Number

H80CS00670

Participating Start Date

12/1/1992

Last Recertification Date

2/18/2025

Pharmacy Details

Pharmacy Name

HIGHLAND PARK CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 08634
910 W. 4TH ST.
MILAN, IL 61264

Pharmacy Comments

Contract Details

Approval Date

7/9/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Thomas Bowman, CEO
(563) 336-3112

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

7/9/2019

340B Drug Pricing Program Database