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HIGHLAND PARK CVS, L.L.C.
CH059300 FAMILY CHRISTIAN HEALTH CENTER
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Covered Entity Details
Entity Name
FAMILY CHRISTIAN HEALTH CENTER
Subdivision Name
FAMILY CHRISTIAN HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH059300
Entity Address
31 W 155th St
Harvey, IL 60426-3556
Grant Number
H80CS00879
Participating Start Date
4/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 01768
3400 LINCOLN HWY.
OLYMPIA FIELDS, IL 60461
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
Lisa Green, CEO
(708) 339-5525
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/16/2023
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