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HIGHLAND PARK CVS, L.L.C.
CAH141309-00 CARLE EUREKA HOSPITAL
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Covered Entity Details
Entity Name
CARLE EUREKA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141309-00
Entity Address
101 SOUTH MAJOR STREET
EUREKA, IL 61530
Medicare Provider Number
141309
Participating Start Date
1/1/2017
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 07017
1130 S. VETERANS PKWY
BLOOMINGTON, IL 61704
Pharmacy Comments
Contract Details
Approval Date
7/18/2017
Contract Begin Date
10/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/30/2019
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Aron Klein, VP Finance
(309) 268-2410
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/18/2017
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