340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOOK-SUPERX, L.L.C.
STD46208 Brothers United, Inc.
Print
Covered Entity Details
Entity Name
Brothers United, Inc.
Subdivision Name
N/A
Type
Sexually Transmitted Diseases
340B ID
STD46208
Entity Address
1712 N. Meridian St.
Suite 200
Indianapolis, IN 46202
Grant Number
6 NU62PS924556-01-03
Participating Start Date
7/1/2019
Last Recertification Date
6/3/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
CVS/PHARMACY # 10903
336 SOUTH DELAWARE ST
INDIANAPOLIS, IN 46204
Pharmacy Comments
Contract Details
Approval Date
1/3/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jasmine A Black, Executive Director
(317) 931-0292
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/3/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session