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WINDROSE RX-HOPE
CHC02456-02 WINDROSE HEALTH NETWORK, INC.
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Covered Entity Details
Entity Name
WINDROSE HEALTH NETWORK, INC.
Subdivision Name
Windrose Health Network - Hope
Type
HRSA-Funded Health Center
340B ID
CHC02456-02
Entity Address
163 Butner Drive
Hope, IN 47246-9447
Grant Number
H80CS02456
Participating Start Date
10/1/2016
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
WINDROSE RX-HOPE
Pharmacy Address
WINDROSE FAMILY PHARMACIES, LLC
645 HARRISON ST.
HOPE, IN 47246
Pharmacy Comments
Contract Details
Approval Date
5/13/2022
Contract Begin Date
5/17/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/16/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Scott K Rollett, CEO
(317) 739-4895 Ext: 2401
Contract Pharmacy Representative
Encore Pharmacy
SANDRA VALDEZ, 340B Account Manager
(210) 788-9625
Signed By Date
5/13/2022
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