340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
CHC24103-09 ESPERANZA HEALTH CENTERS
Print
Covered Entity Details
Entity Name
ESPERANZA HEALTH CENTERS
Subdivision Name
Esperanza Academy for Global Citizenship Annex
Type
HRSA-Funded Health Center
340B ID
CHC24103-09
Entity Address
4941 W 46th St RM 100
Chicago, IL 60638-2023
Grant Number
H80CS24103
Participating Start Date
10/1/2023
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
CVS PHARMACY # 16999
4433 S PULASKI RD
CHICAGO, IL 60632
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
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