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HOOK-SUPERX, L.L.C.
CH050640 Family Health Services of Darke County
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Covered Entity Details
Entity Name
Family Health Services of Darke County
Subdivision Name
FAMILY HEALTH SERVICES OF DARKE COUNTY
Type
HRSA-Funded Health Center
340B ID
CH050640
Entity Address
5735 Meeker Rd
Greenville, OH 45331-1180
Grant Number
H80CS00419
Participating Start Date
4/1/2001
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06647
1515 EAST MAIN STREET
RICHMOND, IN 47374
Pharmacy Comments
Contract Details
Approval Date
10/11/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/3/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Jared Pollick, Executive Director
(937) 548-3806
Contract Pharmacy Representative
Wellpartner
Bryn Wolgemuth, Account Manager
(917) 607-0428
Signed By Date
10/11/2023
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