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CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
CH053092E HEALTHLINC INC
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Covered Entity Details
Entity Name
HEALTHLINC INC
Subdivision Name
HealthLinc East Chicago
Type
HRSA-Funded Health Center
340B ID
CH053092E
Entity Address
1313 W. Chicago Ave.
East Chicago, IN 46312-3316
Grant Number
H80CS06662
Participating Start Date
10/1/2013
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
800 BIERMANN CT STE B
MOUNT PROSPECT, IL 60056
Pharmacy Comments
Contract Details
Approval Date
4/8/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Melissa D Mitchell, CEO
(219) 465-9503
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/8/2024
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