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CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
CH102080 One Community Health
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Covered Entity Details
Entity Name
One Community Health
Subdivision Name
One Community Health - Hood River
Type
HRSA-Funded Health Center
340B ID
CH102080
Entity Address
849 Pacific Ave
Hood River, OR 97031-1956
Grant Number
H80CS00426
Participating Start Date
7/1/1998
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
800 BIERMANN CT STE B
MOUNT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
4/14/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Belinda Batcha, CFO
(541) 308-8363
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2020
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