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PHARMACY I EXPRESS
CH05320AG HealthNet, Inc.
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Covered Entity Details
Entity Name
HealthNet, Inc.
Subdivision Name
Bloomington Health and Dental Center
Type
HRSA-Funded Health Center
340B ID
CH05320AG
Entity Address
811 W 2nd St
Bloomington, IN 47403-2212
Grant Number
H80CS00114
Participating Start Date
4/1/2020
Last Recertification Date
2/25/2025
Pharmacy Details
Pharmacy Name
PHARMACY I EXPRESS
Pharmacy Address
730 W 2ND ST
BLOOMINGTON, IN 47403-2210
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Varon Edward Cantrell, Chief Medical Officer
(317) 957-2015
Contract Pharmacy Representative
Pharmacy 1 Express
Kendra R Wells, President
(812) 331-7979
Signed By Date
10/13/2023
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