Contract Pharmacy Details

HOOK-SUPERX, L.L.C.
DSH180088 NORTON HOSPITALS, INC

Covered Entity Details

Entity Name

NORTON HOSPITALS, INC

Subdivision Name

Type

Disproportionate Share Hospital

340B ID

DSH180088

Entity Address

200 East Chestnut Street
LOUISVILLE, KY 40202

Medicare Provider Number

180088

Participating Start Date

1/1/2004

Last Recertification Date

8/27/2024

Pharmacy Details

Pharmacy Name

HOOK-SUPERX, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY # 3962
6710 HWY 311
SELLERSBURG, IN 47172

Pharmacy Comments

Contract Details

Approval Date

4/4/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Adam David Kempf, CFO
(502) 420-2255

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

4/4/2020

340B Drug Pricing Program Database