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CORAM ALTERNATE SITE SERVICES, INC.
CH0530920 HEALTHLINC, INC.
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Covered Entity Details
Entity Name
HEALTHLINC, INC.
Subdivision Name
HealthLinc Valparaiso
Type
HRSA-Funded Health Center
340B ID
CH0530920
Entity Address
1001 Sturdy Rd
Valparaiso, IN 46383
Grant Number
H80CS06662
Participating Start Date
1/1/2004
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
CORAM ALTERNATE SITE SERVICES, INC.
Pharmacy Address
DBA CORAM CVS/SPECIALTY INFUSION SERVICE
431 FERNHILL AVENUE
FORT WAYNE, IN 46805
Pharmacy Comments
Contract Details
Approval Date
1/16/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/17/2025
Pharmacy closed
Contacts
Covered Entity Signing Official
Melissa D Mitchell, CEO
(219) 465-9503
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/16/2024
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