340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOOK-SUPERX, L.L.C.
CHC12846-00 Purdue University
Print
Covered Entity Details
Entity Name
Purdue University
Subdivision Name
Family Health Clinic of Carroll County
Type
HRSA-Funded Health Center
340B ID
CHC12846-00
Entity Address
901 Prince William Rd Ste A
Delphi, IN 46923-1759
Grant Number
H80CS12846
Participating Start Date
1/1/2024
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06534
717 NORTH 3RD STREET
LOGANSPORT, IN 46947
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Sherri Gehlhausen, Director of Revenue Cycle
(765) 564-3016
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2024
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