340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HIGHLAND PARK CVS, L.L.C.
RRC140043-00 CGH MEDICAL CENTER
Print
Covered Entity Details
Entity Name
CGH MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
340B ID
RRC140043-00
Entity Address
100 EAST LEFEVRE ROAD
STERLING, IL 61081-1278
Medicare Provider Number
140043
Participating Start Date
1/1/2023
Last Recertification Date
8/27/2024
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
1/15/2018
Contract Begin Date
4/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Randal C Davis, VP and CIO
(815) 632-5130
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/15/2018
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