Contract Pharmacy Details

WINDROSE RX-HOPE
CHC02456-07 WINDROSE HEALTH NETWORK, INC.

Covered Entity Details

Entity Name

WINDROSE HEALTH NETWORK, INC.

Subdivision Name

Windrose Health Network - Avon

Type

HRSA-Funded Health Center

340B ID

CHC02456-07

Entity Address

6655 E US Highway 36
Avon, IN 46123-8923

Grant Number

H80CS02456

Participating Start Date

4/1/2022

Last Recertification Date

2/9/2023

Entity Termination Date

4/1/2024

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

4/1/2024
Covered Entity Terminated

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

340B Drug Pricing Program Database