340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
DSH140012 OSF Saint Katharine Medical Center
Print
Covered Entity Details
Entity Name
OSF Saint Katharine Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140012
Entity Address
403 EAST FIRST STREET
DIXON, IL 61021
Medicare Provider Number
140012
Participating Start Date
7/1/2024
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
HIGHLAND PARK CVS, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08663
2301 N. LOCUST
STERLING, IL 61081
Pharmacy Comments
Contract Details
Approval Date
4/20/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2017
Contacts
Covered Entity Signing Official
Anthony Evers, CFO
(815) 285-5521
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/20/2017
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