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DEMOTTE DRUGS, INC.
CH058660 COMMUNITY HEALTHNET
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Covered Entity Details
Entity Name
COMMUNITY HEALTHNET
Subdivision Name
GARY COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH058660
Entity Address
1021 W 5th Ave
Gary, IN 46402-1703
Grant Number
H80CS06665
Participating Start Date
10/1/2006
Last Recertification Date
2/5/2024
Entity Termination Date
1/1/2025
Pharmacy Details
Pharmacy Name
DEMOTTE DRUGS, INC.
Pharmacy Address
DBA FAGEN PHARMACY #38
7905 CALUMET AVENUE, SUITE 2
MUNSTER, IN 46321
Pharmacy Comments
Contract Details
Approval Date
12/30/2011
Contract Begin Date
12/30/2011
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/6/2017
Ownership change
Contacts
Covered Entity Signing Official
JANET SEABROOK, CEO
(219) 484-2442
Contract Pharmacy Representative
Gerald A. Fagen, President
(219) 987-6468
Signed By Date
11/29/2011
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