Pharmacy Details

FAGEN PHARMACY #36 - information as of 6/12/2025 6:24:06 AM

Name
FAGEN PHARMACY #36

Address

1350 BROADWAY STREET
GARY, IN 46407

Comments
4/30/10 UPDATED ADDR (WAS 504 BROADWAY)

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	01/12/2009	12/06/2017	10/15/2018 11:17 PM
Details	CH058660	COMMUNITY HEALTHNET	GARY COMMUNITY HEALTH CENTER	HRSA-Funded Health Center	1021 W 5th Ave		Gary	IN	07/01/2021	01/01/2025	1/1/2025 12:01 AM
Details	CH058660A	COMMUNITY HEALTHNET	Calumet High School	HRSA-Funded Health Center	3900 Calhoun St		Gary	IN	06/21/2010	12/06/2017	10/15/2018 11:36 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	CHC29005-00	PORTER STARKE SERVICES INC	Porter Starke Services Inc DBA Marram Health Center	HRSA-Funded Health Center	3229 Broadway Ste 205		Gary	IN	01/01/2018	09/30/2017	3/7/2018 12:53 PM
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 #36 1350 BROADWAY STREET GARY, IN 46407	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		FAGEN PHARMACY #36 506 BROADWAY GARY, IN 46402	FAGEN PHARMACY #36 1350 BROADWAY STREET GARY, IN 46407	4/25/2014 1:33 PM
Addresses	Pharmacy Address	Update		FAGEN PHARMACY #36, DEMOTTE DRUGS INC. 506 BROADWAY GARY, IN 46402	FAGEN PHARMACY #36 506 BROADWAY GARY, IN 46402	8/16/2013 12:52 PM
Details	Name	Update		FAGEN PHARMACY #36, DEMOTTE DRUGS INC.	FAGEN PHARMACY #36	8/16/2013 12:52 PM
Details	Comments	Update			4/30/10 UPDATED ADDR (WAS 504 BROADWAY)	4/18/2013 3:57 PM
Details	Comments	Update		4/30/10 UPDATED ADDR (WAS 504 BROADWAY)		3/28/2013 4:17 PM
Addresses	Pharmacy Address	Update		FAGEN PHARMACY #36 506 BROADWAY GARY, IN 46402	FAGEN PHARMACY #36, DEMOTTE DRUGS INC. 506 BROADWAY GARY, IN 46402	3/28/2013 4:17 PM
Details	Name	Update		FAGEN PHARMACY #36	FAGEN PHARMACY #36, DEMOTTE DRUGS INC.	3/28/2013 4:17 PM
Details	Comments	Insert			4/30/10 UPDATED ADDR (WAS 504 BROADWAY)	6/21/2010 8:23 AM
Details	Is Deleted	Insert			False	6/21/2010 8:23 AM