340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
CHC24098-00 SOUTHERN ILLINOIS UNIVERSITY
Print
Covered Entity Details
Entity Name
SOUTHERN ILLINOIS UNIVERSITY
Subdivision Name
SIU Center for Family Medicine
Type
HRSA-Funded Health Center
340B ID
CHC24098-00
Entity Address
520 N 4th St
Springfield, IL 62702-5238
Grant Number
H80CS24098
Participating Start Date
1/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
CVS/PHARMACY #18085
915 W MAIN ST
CARBONDALE, IL 62901
Pharmacy Comments
Contract Details
Approval Date
10/4/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Iris Elenora Wesley, CEO
(217) 757-8116
Contract Pharmacy Representative
Wellpartner
Alexandra G Pavone, Account Manager/Analyst
(347) 452-6333
Signed By Date
10/4/2022
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