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HOOK-SUPERX, L.L.C.
STD462012 DAMIEN CENTER INC, THE
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Covered Entity Details
Entity Name
DAMIEN CENTER INC, THE
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
STD462012
Entity Address
26 N Arsenal Avenue
Indianapolis, IN 46201
Grant Number
NU62PS924804
Participating Start Date
10/1/2019
Last Recertification Date
5/21/2024
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06604
175 N. ILLINOIS ST.
INDIANAPOLIS, IN 46204
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/11/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alan Witchey, President and CEO
(317) 632-0123 Ext: 266
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/9/2019
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