Contract Pharmacy Details

CAREMARK ILLINOIS MAIL PHARMACY, LLC
CHC33652-00 Turner House Clinic Inc.

Covered Entity Details

Entity Name

Turner House Clinic Inc.

Subdivision Name

Vibrant Health - Argentine

Type

HRSA-Funded Health Center

340B ID

CHC33652-00

Entity Address

1428 S 32nd St Ste 100
Kansas City, KS 66106-2160

Grant Number

H80CS33652

Participating Start Date

4/1/2022

Last Recertification Date

Entity Termination Date

4/1/2023

Pharmacy Details

Pharmacy Name

CAREMARK ILLINOIS MAIL PHARMACY, LLC

Pharmacy Address

DBA CVS/CAREMARK OR CARELONRX MAIL #8702
800 BIERMANN COURT
SUITE A
MOUNT PROSPECT, IL 60056

Pharmacy Comments

Contract Details

Approval Date

7/10/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

7/10/2020
Agreement registered in error

Contacts

Covered Entity Signing Official

Patrick Sallee, CEO
(913) 342-2552

Contract Pharmacy Representative

CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118

Signed By Date

7/10/2020

340B Drug Pricing Program Database