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HIGHLAND PARK CVS, L.L.C.
DSH140113 OSF Heart of Mary Medical Center
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Covered Entity Details
Entity Name
OSF Heart of Mary Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140113
Entity Address
1400 WEST PARK STREET
URBANA, IL 61801
Medicare Provider Number
140113
Participating Start Date
10/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06937
820 N. VERMILION
DANVILLE, IL 61832
Pharmacy Comments
Contract Details
Approval Date
4/15/2020
Contract Begin Date
7/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Diane L. McGrew, President
(309) 655-2850
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/15/2020
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