Contract Pharmacy Details

HOOK-SUPERX, L.L.C.
CH05849F ECHO COMMUNITY HEALTH CARE, INC.

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 # 00045
6975 N. PENDLETON PIKE
INDIANAPOLIS, IN 46226

Pharmacy Comments

Contract Details

Approval Date

1/7/2020

Contract Begin Date

4/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/22/2024
Business decision by covered entity and/or pharmacy

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

1/7/2020

340B Drug Pricing Program Database