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HIGHLAND PARK CVS, L.L.C.
CH05642A LAWNDALE CHRISTIAN HLTH CTR
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Covered Entity Details
Entity Name
LAWNDALE CHRISTIAN HLTH CTR
Subdivision Name
LCHC at Archer Avenue
Type
HRSA-Funded Health Center
340B ID
CH05642A
Entity Address
5122 S Archer Ave
CHICAGO, IL 60632-4508
Grant Number
H80CS00725
Participating Start Date
1/1/2010
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03163
345 MADISON ST.
OAK PARK, IL 60302
Pharmacy Comments
Contract Details
Approval Date
10/3/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Christopher Robert Dons, Chief Financial Officer
(872) 588-3032
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/3/2024
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