340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HARBOR DRUGS, INC.
CH0530920 HEALTHLINC, INC.
Print
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
HARBOR DRUGS, INC.
Pharmacy Address
DBA FAGEN PHARMACY, #23
2106 BROADWAY ST.
EAST CHICAGO, IN 46312
Pharmacy Comments
Contract Details
Approval Date
4/19/2010
Contract Begin Date
6/1/2010
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/16/2017
Ownership change
Contacts
Covered Entity Signing Official
BETH WROBEL, CEO
(219) 465-9500
Contract Pharmacy Representative
Gerald A. Fagen, President
(219) 987-6468
Signed By Date
4/7/2010
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session