340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
DSH140172 FRANCISCAN HEALTH OLYMPIA FIELDS
Print
Covered Entity Details
Entity Name
FRANCISCAN HEALTH OLYMPIA FIELDS
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140172
Entity Address
20201 SOUTH CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Medicare Provider Number
140172
Participating Start Date
4/1/2015
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 04978
14701 S. PULASKI RD.
MIDLOTHIAN, IL 60445
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Frank J McHugh, VP Finance - CFO
(708) 747-4000 Ext: 82014
Contract Pharmacy Representative
Franciscan Alliance
Frank J McHugh, VP Finance - CFO
(708) 747-4000 Ext: 82014
Signed By Date
10/11/2023
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