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CAREMARK, L.L.C.
CH051030 TCA HEALTH, INC. NFP
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Covered Entity Details
Entity Name
TCA HEALTH, INC. NFP
Subdivision Name
THE CLINIC IN ALTGELD, INC.
Type
HRSA-Funded Health Center
340B ID
CH051030
Entity Address
1029 E 130th St
Chicago, IL 60628-6908
Grant Number
H80CS00109
Participating Start Date
10/1/1997
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
10/15/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
VERONICA CLARKE, CEO
(773) 995-6300 Ext: 213
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/15/2024
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