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HIGHLAND PARK CVS, L.L.C.
CHC24103-08 Esperanza Health Centers
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Covered Entity Details
Entity Name
Esperanza Health Centers
Subdivision Name
Esperanza at Charles G. Hammond Elementary School
Type
HRSA-Funded Health Center
340B ID
CHC24103-08
Entity Address
2819 W 21st Pl Rm 300
Chicago, IL 60623-3503
Grant Number
H80CS24103
Participating Start Date
10/1/2022
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08502
6315 S PULASKI RD STE 1
CHICAGO, IL 60629
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ryan Gadia, CFO
(773) 640-5792
Contract Pharmacy Representative
Montana CVS Pharmacy, LLC
Christian Reid, Senior Director
(401) 770-2118
Signed By Date
10/13/2023
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