Contract Pharmacy Details

HOOK-SUPERX, L.L.C.
CH059300 FAMILY CHRISTIAN HEALTH CENTER

Covered Entity Details

Entity Name

FAMILY CHRISTIAN HEALTH CENTER

Subdivision Name

FAMILY CHRISTIAN HEALTH CENTER

Type

HRSA-Funded Health Center

340B ID

CH059300

Entity Address

31 W 155th St
Harvey, IL 60426-3556

Grant Number

H80CS00879

Participating Start Date

4/1/2004

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

HOOK-SUPERX, L.L.C.

Pharmacy Address

DBA: CVS/PHARMACY # 02665
2272 NORTH MAIN ST.
CROWNPOINT, IN 46307

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

Lisa Green, CEO
(708) 339-5525

Contract Pharmacy Representative

CVS
Chrisitan Reid, 340b Program Director
(401) 770-2118

Signed By Date

10/16/2023

340B Drug Pricing Program Database