340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
CH05103C TCA HEALTH, INC. NFP
Print
Covered Entity Details
Entity Name
TCA HEALTH, INC. NFP
Subdivision Name
TCA Health- Chatham
Type
HRSA-Funded Health Center
340B ID
CH05103C
Entity Address
8425 S Cottage Grove Ave
Chicago, IL 60619-6113
Grant Number
H80CS00109
Participating Start Date
4/1/2020
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07166
250 W. 144TH ST.
RIVERDALE, IL 60827
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
VERONICA CLARKE, CEO
(773) 995-6300 Ext: 213
Contract Pharmacy Representative
CVS Health
Christine Reid, Executive Director 340B
(904) 271-5532
Signed By Date
4/14/2023
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