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HOOK-SUPERX, L.L.C.
FQHCLA426 Wabash General Hospital District
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Covered Entity Details
Entity Name
Wabash General Hospital District
Subdivision Name
Wabash Community Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA426
Entity Address
1123 Chestnut Street
Mount Carmel, IL 62863-1948
Grant Number
LALCS41745
Participating Start Date
5/12/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06250
7722 W STATE ROUTE 66
NEWBURGH, IN 47630
Pharmacy Comments
Contract Details
Approval Date
7/13/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Cathy Ruth, Director
(618) 263-6186
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2021
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