Contract Pharmacy Details

HOOK-SUPERX, L.L.C.
CH0530920 HEALTHLINC INC

Covered Entity Details

Entity Name

HEALTHLINC INC

Subdivision Name

HealthLinc Valparaiso

Type

HRSA-Funded Health Center

340B ID

CH0530920

Entity Address

1001 Sturdy Rd
Valparaiso, IN 46383-4126

Grant Number

H80CS06662

Participating Start Date

1/1/2004

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

HOOK-SUPERX, L.L.C.

Pharmacy Address

CVS/PHARMACY #11114
2800 ENTERPRISE ST STE 5
INDIANAPOLIS, IN 46219-1106

Pharmacy Comments

Contract Details

Approval Date

4/16/2021

Contract Begin Date

7/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/10/2023
Pharmacy closed

Contacts

Covered Entity Signing Official

BETH WROBEL, CEO
(219) 465-9500

Contract Pharmacy Representative

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

Signed By Date

4/16/2021

340B Drug Pricing Program Database