Contract Pharmacy Details

HIGHLAND PARK CVS, L.L.C.
FQHCLA464 SOLVERA HEALTHCARE CENTER INC

Covered Entity Details

Entity Name

SOLVERA HEALTHCARE CENTER INC

Subdivision Name

Solvera Healthcare Center Inc

Type

Health Center Program Look-Alike

340B ID

FQHCLA464

Entity Address

3525 N University St
Peoria, IL 61604-1324

Grant Number

LALCS53029

Participating Start Date

7/1/2024

Last Recertification Date

2/27/2025

Pharmacy Details

Pharmacy Name

HIGHLAND PARK CVS, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 06450
603 S. FOURTH ST.
CHILLICOTHE, IL 61523

Pharmacy Comments

Contract Details

Approval Date

4/9/2025

Contract Begin Date

7/1/2025

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Patrick Joseph Caplis, CEO
(309) 453-9052

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/9/2025

340B Drug Pricing Program Database