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HIGHLAND PARK CVS, L.L.C.
CHC24103-00 Esperanza Health Centers
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Covered Entity Details
Entity Name
Esperanza Health Centers
Subdivision Name
Esperanza California
Type
HRSA-Funded Health Center
340B ID
CHC24103-00
Entity Address
2001 S California Ave STE 100
Chicago, IL 60608-2486
Grant Number
H80CS24103
Participating Start Date
4/1/2013
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16285
7100 S CICERO AVE
CHICAGO, IL 60629
Pharmacy Comments
Contract Details
Approval Date
7/1/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Gadia, CFO
(773) 640-5792
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/1/2022
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