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HIGHLAND PARK CVS, L.L.C.
CH07117Z Community Health Care, Inc.
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Covered Entity Details
Entity Name
Community Health Care, Inc.
Subdivision Name
Community Health Care, Inc. MCSA Muscatine
Type
HRSA-Funded Health Center
340B ID
CH07117Z
Entity Address
312 Iowa Ave
Muscatine, IA 52761
Grant Number
H80CS00670
Participating Start Date
4/1/2020
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 00484
2250 41ST ST.
MOLINE, IL 61265
Pharmacy Comments
Contract Details
Approval Date
7/11/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/15/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Tom Bowman, CEO
(563) 336-3000 Ext: 3112
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/11/2024
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