Pharmacy Details

FAGEN PHARMACY - information as of 4/29/2025 1:57:15 AM

Name
FAGEN PHARMACY

Address

10064 NORTH 600 EAST
DEMOTTE, IN 46310

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	CH0530920	HEALTHLINC, INC.	HealthLinc Valparaiso	HRSA-Funded Health Center	1001 Sturdy Rd		Valparaiso	IN	06/01/2010	09/16/2017	12/1/2017 11:45 AM
Details	CH058660	COMMUNITY HEALTHNET	GARY COMMUNITY HEALTH CENTER	HRSA-Funded Health Center	1021 W 5th Ave		Gary	IN	12/30/2011	12/06/2017	9/26/2018 2:25 PM
Details	CH058660A	COMMUNITY HEALTHNET	Calumet High School	HRSA-Funded Health Center	3900 Calhoun St		Gary	IN	12/30/2011	12/06/2017	10/15/2018 9:51 PM
Details	CHC29005-00	PORTER STARKE SERVICES INC	Porter Starke Services Inc DBA Marram Health Center	HRSA-Funded Health Center	3229 Broadway Ste 205		Gary	IN	04/01/2016	09/22/2017	10/2/2017 10:06 AM
Details	DSH150002	THE METHODIST HOSPITALS		Disproportionate Share Hospital	600 GRANT ST		GARY	IN	07/01/2015	09/02/2017	11/28/2017 1:25 PM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			FAGEN PHARMACY 10064 NORTH 600 EAST DEMOTTE, IN 46310	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		FAGEN PHARMACY, #3 10064 NORTH 600 EAST DEMOTTE, IN 46310	FAGEN PHARMACY 10064 NORTH 600 EAST DEMOTTE, IN 46310	8/11/2014 9:46 AM
Details	Name	Update		FAGEN PHARMACY, #3	FAGEN PHARMACY	8/11/2014 9:46 AM
Addresses	Pharmacy Address	Update		FAGEN PHARMACY #3 10064 N 600 E DEMOTTE, IN 46310	FAGEN PHARMACY, #3 10064 NORTH 600 EAST DEMOTTE, IN 46310	3/28/2013 4:17 PM
Details	Name	Update		FAGEN PHARMACY #3	FAGEN PHARMACY, #3	3/28/2013 4:17 PM
Details	Comments	Insert				4/19/2010 3:01 PM
Details	Is Deleted	Insert			False	4/19/2010 3:01 PM
Addresses	Pharmacy Address	Insert			FAGEN PHARMACY #3 10064 N 600 E DEMOTTE, IN 46310	4/19/2010 3:01 PM
Details	Name	Insert			FAGEN PHARMACY #3	4/19/2010 3:01 PM