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ST.CATHERINE HOSPITAL OUTPATIENT PHARMAC
FQHCLA391A 219 Health Network, Inc.
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Covered Entity Details
Entity Name
219 Health Network, Inc.
Subdivision Name
219 Health Network
Type
Health Center Program Look-Alike
340B ID
FQHCLA391A
Entity Address
525 W Chicago Ave
East Chicago, IN 46312-3206
Grant Number
LALCS32751
Participating Start Date
10/1/2019
Last Recertification Date
Entity Termination Date
4/1/2020
Pharmacy Details
Pharmacy Name
ST.CATHERINE HOSPITAL OUTPATIENT PHARMAC
Pharmacy Address
4321 FIR ST
EAST CHICAGO, IN 46312-3049
Pharmacy Comments
Contract Details
Approval Date
7/12/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Ibrahim Mohammed Najamuddin, Executive Director
(219) 703-2585
Contract Pharmacy Representative
st Catherines hospital
zorano dypkowski, pharmacy manager
(219) 392-7691
Signed By Date
7/12/2019
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