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HOOK-SUPERX, L.L.C.
CH05848B NEIGHBORHOOD HEALTH CLINICS INC.
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CLINICS INC.
Subdivision Name
Southeast Clinic
Type
HRSA-Funded Health Center
340B ID
CH05848B
Entity Address
3350 E PAULDING RD
FORT WAYNE, IN 46816-4513
Grant Number
H80CS00548
Participating Start Date
7/1/2014
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06509
2802 EAST STATE BOULEVARD
FORT WAYNE, IN 46805
Pharmacy Comments
Contract Details
Approval Date
4/11/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Angela Zaegel, CEO
(260) 458-2641 Ext: 3634
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/11/2024
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