Contract Pharmacy Details

HOOK-SUPERX, L.L.C.
CH058660E Community Healthnet, Inc

Covered Entity Details

Entity Name

Community Healthnet, Inc

Subdivision Name

Community HealthNet East

Type

HRSA-Funded Health Center

340B ID

CH058660E

Entity Address

3503 Martin Luther King Drive
Gary, IN 46409-1535

Grant Number

H80CS06665

Participating Start Date

1/1/2020

Last Recertification Date

2/5/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

HOOK-SUPERX, L.L.C.

Pharmacy Address

DBA CVS/PHARMACY #0434
8100 EAST RIDGE ROAD
HOBART, IN 46342

Pharmacy Comments

Contract Details

Approval Date

4/15/2020

Contract Begin Date

7/1/2020

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

1/1/2025
Covered Entity Terminated

Contacts

Covered Entity Signing Official

JANET SEABROOK, CEO
(219) 484-2442

Contract Pharmacy Representative

CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118

Signed By Date

4/15/2020

340B Drug Pricing Program Database