Contract Pharmacy Details

HOOK-SUPERX, L.L.C.
CH058660A COMMUNITY HEALTHNET

Covered Entity Details

Entity Name

COMMUNITY HEALTHNET

Subdivision Name

Calumet High School

Type

HRSA-Funded Health Center

340B ID

CH058660A

Entity Address

3900 Calhoun St
Gary, IN 46408-1753

Grant Number

H80CS06665

Participating Start Date

4/1/2010

Last Recertification Date

2/5/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

HOOK-SUPERX, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 06908
310 N. HALLECK ST.
DEMOTTE, IN 46310

Pharmacy Comments

Contract Details

Approval Date

10/15/2018

Contract Begin Date

1/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

JANET SEABROOK, CEO
(219) 484-2442

Contract Pharmacy Representative

Community HealthNet
JANET SEABROOK, CEO
(219) 484-2442

Signed By Date

10/15/2018

340B Drug Pricing Program Database