340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOOK-SUPERX, L.L.C.
HV00536 University of Louisville Research Foundation/Wings Clinic
Print
Covered Entity Details
Entity Name
University of Louisville Research Foundation/Wings Clinic
Subdivision Name
Type
Ryan White Part C
340B ID
HV00536
Entity Address
550 South Jackson Street
550 Clinic, ACB 2nd Floor
Louisville, KY 40202
Grant Number
H76HA00536
Participating Start Date
1/1/2012
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 03280
255 OLD CAPITAL PLAZA NW
CORYDON, IN 47112
Pharmacy Comments
Contract Details
Approval Date
7/13/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Anupama Raghuram, Project Director/Medical Director, 550 Clinic
(502) 561-8825
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session