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HIGHLAND PARK CVS, L.L.C.
RRC140135-00 Decatur Memorial Hospital
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Covered Entity Details
Entity Name
Decatur Memorial Hospital
Subdivision Name
Type
Rural Referral Center
340B ID
RRC140135-00
Entity Address
2300 N. Edward St.
Decatur, IL 62526
Medicare Provider Number
140135
Participating Start Date
7/1/2013
Last Recertification Date
8/22/2024
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06923
208 W. JACKSON ST.
SULLIVAN, IL 61951
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Drew Early, President CEO
(217) 876-2114
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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