Contract Pharmacy Details

HOOK-SUPERX, L.L.C.
CH057480 RIGGS COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

RIGGS COMMUNITY HEALTH CENTER, INC.

Subdivision Name

RIGGS COMMUNITY HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH057480

Entity Address

1716 Hartford St
Lafayette, IN 47904-2173

Grant Number

H80CS00565

Participating Start Date

1/1/1997

Last Recertification Date

2/11/2025

Pharmacy Details

Pharmacy Name

HOOK-SUPERX, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 06674
505 WEST MAIN STREET
DELPHI, IN 46923

Pharmacy Comments

Contract Details

Approval Date

10/16/2023

Contract Begin Date

1/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Kimberly Dowell, CFO
(765) 429-2770

Contract Pharmacy Representative

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

Signed By Date

10/16/2023

340B Drug Pricing Program Database