340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
CH05642T LAWNDALE CHRISTIAN HEALTH CENTER
Print
Covered Entity Details
Entity Name
LAWNDALE CHRISTIAN HEALTH CENTER
Subdivision Name
LCHC at 3910
Type
HRSA-Funded Health Center
340B ID
CH05642T
Entity Address
3910 W Ogden Ave
Chicago, IL 60623-2461
Grant Number
H80CS00725
Participating Start Date
4/1/2019
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06789
8645 WOODWARD AVE.
WOODRIDGE, IL 60517
Pharmacy Comments
Contract Details
Approval Date
1/6/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2025
Business decision by covered entity and/or pharmacy
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
1/6/2025
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session