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HOOK-SUPERX, L.L.C.
CH05849F ECHO COMMUNITY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
ECHO COMMUNITY HEALTH CARE, INC.
Subdivision Name
ECHO Community Health Care, Inc. Mulberry Street Clinic
Type
HRSA-Funded Health Center
340B ID
CH05849F
Entity Address
315 Mulberry St
Evansville, IN 47713
Grant Number
H80CS00199
Participating Start Date
10/1/2012
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06263
905 W. MAIN ST.
BOONVILLE, IN 47601
Pharmacy Comments
Contract Details
Approval Date
1/10/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sandee Strader-McMillen, CEO
(812) 421-7489 Ext: 2215
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/10/2019
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