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HOOK-SUPERX, L.L.C.
CHC33650-04 Southern Indiana Community Health Care Inc
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Covered Entity Details
Entity Name
Southern Indiana Community Health Care Inc
Subdivision Name
SICHC Women's Health
Type
HRSA-Funded Health Center
340B ID
CHC33650-04
Entity Address
1201 N Jim Day Rd
Salem, IN 47167-7219
Grant Number
H80CS33650
Participating Start Date
4/1/2023
Last Recertification Date
2/10/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06875
930 N. GOSPEL ST
PAOLI, IN 47454
Pharmacy Comments
Contract Details
Approval Date
4/2/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Nancy Radcliff, CEO
(812) 723-3944
Contract Pharmacy Representative
Southern Indiana Community Health Care, Inc.
Debby Heinz, Project Coordinator
(812) 723-3944
Signed By Date
4/2/2024
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