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CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
CH030790 COMMUNITY HEALTH SYSTEMS, INC.
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Covered Entity Details
Entity Name
COMMUNITY HEALTH SYSTEMS, INC.
Subdivision Name
AccessHealth Rural Acres Clinic
Type
HRSA-Funded Health Center
340B ID
CH030790
Entity Address
252 Rural Acres Drive
Beckley, WV 25801-3503
Grant Number
H80CS00345
Participating Start Date
7/1/2000
Last Recertification Date
2/23/2025
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
5/7/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
CHARLES HUNT, CEO
(304) 252-8551 Ext: 1164
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
5/7/2021
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