340B Drug Pricing Program Database
HOOK-SUPERX, L.L.C.
CHC12846-03 Purdue University - information as of 4/30/2025 12:10:42 AM
Covered Entity Details
Entity Name
Purdue University
Subdivision Name
Family Health Clinic of Monon
Type
HRSA-Funded Health Center
340B ID
CHC12846-03
Entity Address
692 E Broadway St
Monon, IN 47959-8191
Grant Number
H80CS12846
Participating Start Date
1/1/2024
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 08657
1725 SALEM STREET
LAFAYETTE, IN 47904
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sherri Gehlhausen, Director of Revenue Cycle
(765) 564-3016
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2024
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