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HOOK-SUPERX, L.L.C.
CHC26566-15 JANE PAULEY COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
JANE PAULEY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Jane Pauley Community Health Center at Alexandria
Type
HRSA-Funded Health Center
340B ID
CHC26566-15
Entity Address
121 W. Washington Street
Alexandria, IN 46001-1809
Grant Number
H80CS26566
Participating Start Date
1/1/2017
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06618
105 NORTH PARK AVE
ALEXANDRIA, IN 46001
Pharmacy Comments
Contract Details
Approval Date
1/9/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dale Marion, 340B Program Manager
(317) 552-0690
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/9/2024
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