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HOOK-SUPERX, L.L.C.
CHC08776-05 VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC.
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Covered Entity Details
Entity Name
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC.
Subdivision Name
VPCHC - Crawfordsville
Type
HRSA-Funded Health Center
340B ID
CHC08776-05
Entity Address
1702 Lafayette Rd
Crawfordsville, IN 47933-1035
Grant Number
H80CS08776
Participating Start Date
1/1/2016
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06688
820 WEST OHIO STREET
ROCKVILLE, IN 47872
Pharmacy Comments
Contract Details
Approval Date
10/6/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
TERRY J. WARREN JR., CEO
(765) 828-1003
Contract Pharmacy Representative
CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118
Signed By Date
10/6/2023
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