340B Drug Pricing Program Database

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HIGHLAND PARK CVS, L.L.C.
DSH140182 ADVOCATE NORTH SIDE HEALTH NETWORK

Covered Entity Details

DBA ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (AIMMC)
Disproportionate Share Hospital
DSH140182
836 West Wellington Ave.
CHICAGO, IL 60657
140182
10/27/2005
8/14/2024


Pharmacy Details

DBA: CVS/PHARMACY # 08695
3101 N. CLARK
CHICAGO, IL 60657

Contract Details

10/15/2021
1/1/2022

1/1/2022
Pharmacy closed


Contacts


Nan Nelson, SVP-Finance
(414) 378-4765



CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
10/15/2021