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HOOK-SUPERX, L.L.C.
FQHCLA393A Neighborhood Health Center, INC
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Covered Entity Details
Entity Name
Neighborhood Health Center, INC
Subdivision Name
Neighborhood Health Center - Union County Medical Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA393A
Entity Address
950 N Market St
Liberty, IN 47353-8496
Grant Number
LALCS32717
Participating Start Date
4/1/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06647
1515 EAST MAIN STREET
RICHMOND, IN 47374
Pharmacy Comments
Contract Details
Approval Date
7/11/2022
Contract Begin Date
10/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/3/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Carrie N Miles, CEO
(765) 965-4299
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/11/2022
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