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CAREMARK, L.L.C.
CH0530920 HEALTHLINC, INC.
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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
Grant Number
H80CS06662
Participating Start Date
1/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
CAREMARK, L.L.C.
Pharmacy Address
DBA CVS/SPECIALTY OR CARELONRX SPECIALTY
7251 S. EASTERN AVE.
LAS VEGAS, NV 89119
Pharmacy Comments
Contract Details
Approval Date
4/16/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
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
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