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HIGHLAND PARK CVS, L.L.C.
SCH140147-00 RICHLAND MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
RICHLAND MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH140147-00
Entity Address
800 EAST LOCUST STREET
OLNEY, IL 62450-2958
Medicare Provider Number
140147
Participating Start Date
7/1/2018
Last Recertification Date
9/9/2024
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06887
915 N. MARKET ST.
MOUNT CARMEL, IL 62863
Pharmacy Comments
Contract Details
Approval Date
1/15/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis P. Hesch, Executive VP and CFO
(217) 326-8231
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2021
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