340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOOK-SUPERX, L.L.C.
CAH151324-00 FRANCISCAN HEALTH RENSSELAER
Print
Covered Entity Details
Entity Name
FRANCISCAN HEALTH RENSSELAER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151324-00
Entity Address
1104 EAST GRACE STREET
RENSSELAER, IN 47978-3211
Medicare Provider Number
151324
Participating Start Date
9/15/2010
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06906
107 N. CULLEN ST.
RENSSELAER, IN 47978
Pharmacy Comments
Contract Details
Approval Date
4/12/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jason Geddes, Regional CFO
(765) 502-4599
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/12/2023
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