340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
CH0512480 CHRISTIAN COMMUNITY HEALTH CENTER
Print
Covered Entity Details
Entity Name
CHRISTIAN COMMUNITY HEALTH CENTER
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH0512480
Entity Address
9718 S Halsted Street
CHICAGO, IL 60628-1007
Grant Number
H80CS00594
Participating Start Date
7/1/2006
Last Recertification Date
2/10/2025
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
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenneth A. Burnett, Chief Executive Officer
(773) 298-4745
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/10/2023
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