Contract Pharmacy Details

HIGHLAND PARK CVS, L.L.C.
CHC26512-01 PREFERRED FAMILY HEALTHCARE, INCORPORATED

Covered Entity Details

Entity Name

PREFERRED FAMILY HEALTHCARE, INCORPORATED

Subdivision Name

Preferred Family Healthcare dba Clarity Healthcare

Type

HRSA-Funded Health Center

340B ID

CHC26512-01

Entity Address

141 COMMUNICATION DR
HANNIBAL, MO 63401-3670

Grant Number

H80CS26512

Participating Start Date

10/1/2014

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

HIGHLAND PARK CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 08636
436 NORTH 30TH STREET
QUINCY, IL 62301

Pharmacy Comments

Contract Details

Approval Date

7/15/2020

Contract Begin Date

10/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Mark Conover, CRO
(573) 353-0014

Contract Pharmacy Representative

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

Signed By Date

7/15/2020

340B Drug Pricing Program Database