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HIGHLAND PARK CVS, L.L.C.
CH057880 WILL COUNTY COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
WILL COUNTY COMMUNITY HEALTH CENTER
Subdivision Name
WILL COUNTY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH057880
Entity Address
1106 Neal Ave
Joliet, IL 60433-2548
Grant Number
H80CS00476
Participating Start Date
7/1/2001
Last Recertification Date
3/7/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08750
4801 N CENTRAL
CHICAGO, IL 60630
Pharmacy Comments
Contract Details
Approval Date
1/18/2022
Contract Begin Date
4/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mary Maragos, Chief Executive Officer
(815) 740-7635
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/18/2022
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