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CAREMARK ILLINOIS SPECIALTY PHARMACY, LL
CH041660 Community Health Centers, Inc.
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Covered Entity Details
Entity Name
Community Health Centers, Inc.
Subdivision Name
COMMUNITY HEALTH CENTERS, INC.
Type
HRSA-Funded Health Center
340B ID
CH041660
Entity Address
110 S Woodland St
Winter Garden, FL 34787-3546
Grant Number
H80CS00809
Participating Start Date
12/1/1992
Last Recertification Date
2/10/2025
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
10/3/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Debra Sue Andree, President / Chief Executive Officer
(407) 905-8827 Ext: 1212
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/3/2024
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