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HIGHLAND PARK CVS, L.L.C.
CH059700 Central Counties Health Centers, Inc.
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Covered Entity Details
Entity Name
Central Counties Health Centers, Inc.
Subdivision Name
Capitol Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH059700
Entity Address
2239 E Cook St
Springfield, IL 62703-1944
Grant Number
H80CS00533
Participating Start Date
4/1/2000
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02692
936 S. MAIN ST.
JACKSONVILLE, IL 62650
Pharmacy Comments
Contract Details
Approval Date
4/1/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Brad Buzzard, COO
(217) 788-2325
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/1/2020
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