Contract Pharmacy Details

HOOK-SUPERX, L.L.C.
CH058660C COMMUNITY HEALTHNET, INC

Covered Entity Details

Entity Name

COMMUNITY HEALTHNET, INC

Subdivision Name

Community HealthNet Merillville

Type

HRSA-Funded Health Center

340B ID

CH058660C

Entity Address

6100 Broadway
Merrillville, IN 46410-3002

Grant Number

H80CS06665

Participating Start Date

1/1/2018

Last Recertification Date

2/5/2024

Entity Termination Date

1/1/2025

Pharmacy Details

Pharmacy Name

HOOK-SUPERX, L.L.C.

Pharmacy Address

CVS/PHARMACY # 10176
10 EAST 81ST AVENUE
MERRILLVILLE, IN 46410

Pharmacy Comments

Contract Details

Approval Date

10/9/2020

Contract Begin Date

1/1/2021

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

10/9/2020

340B Drug Pricing Program Database