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HIGHLAND PARK CVS, L.L.C.
CAH141344-00 LAWRENCE COUNTY MEMORIAL HOSPITAL
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Covered Entity Details
Entity Name
LAWRENCE COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141344-00
Entity Address
2200 STATE STREET
LAWRENCEVILLE, IL 62439
Medicare Provider Number
141344
Participating Start Date
1/1/2016
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06887
915 N. MARKET ST.
MOUNT CARMEL, IL 62863
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carl H Aten, Board Chairman
(618) 843-8424
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/12/2023
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