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HOOK-SUPERX, L.L.C.
CH0512480 CHRISTIAN COMMUNITY HEALTH CENTER
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Covered Entity Details
Entity Name
CHRISTIAN COMMUNITY HEALTH CENTER
Subdivision Name
Type
HRSA-Funded Health Center
340B ID
CH0512480
Entity Address
9718 S Halsted Street
CHICAGO, IL 60628-1007
Grant Number
H80CS00594
Participating Start Date
7/1/2006
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 02520
6445 CALUMET AVE.
HAMMOND, IN 46324
Pharmacy Comments
Contract Details
Approval Date
7/10/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kenneth A. Burnett, Chief Executive Officer
(773) 298-4745
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/10/2023
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