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HOOK-SUPERX, L.L.C.
CH058480 NEIGHBORHOOD HEALTH CLINICS, INC.
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CLINICS, INC.
Subdivision Name
Neighborhood Health - Calhoun Site
Type
HRSA-Funded Health Center
340B ID
CH058480
Entity Address
1717 S. Calhoun st
FORT WAYNE, IN 46802
Grant Number
H80CS00548
Participating Start Date
7/1/1998
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06509
2802 EAST STATE BOULEVARD
FORT WAYNE, IN 46805
Pharmacy Comments
Contract Details
Approval Date
1/17/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Angela Zaegel, CEO
(260) 458-2641 Ext: 3634
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/17/2023
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