340B Drug Pricing Program Database

Pharmacy Name

HOOK-SUPERX, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 06670
512 E. SEYMOUR ST.
KENTLAND, IN 47951

Pharmacy Comments

Approval Date

11/14/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Covered Entity Signing Official

Shawn Bransky, Chief Financial Officer
(815) 432-7929

Contract Pharmacy Representative

CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782

Signed By Date

10/13/2023