340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
FQHCLA426 Wabash General Hospital District
Print
Covered Entity Details
Entity Name
Wabash General Hospital District
Subdivision Name
Wabash Community Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA426
Entity Address
1123 Chestnut Street
Mount Carmel, IL 62863-1948
Grant Number
LALCS41745
Participating Start Date
5/12/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06886
1101 W. MAIN ST.
CARMI, IL 62821
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cathy Ruth, Director
(618) 263-6186
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session