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HOOK-SUPERX, L.L.C.
CHC12846-01 Purdue University
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Covered Entity Details
Entity Name
Purdue University
Subdivision Name
Family Health Clinic of Wolcott
Type
HRSA-Funded Health Center
340B ID
CHC12846-01
Entity Address
128 W Market St
Wolcott, IN 47995-8130
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 # 08657
1725 SALEM STREET
LAFAYETTE, IN 47904
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
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