Contract Pharmacy Details

HEALTHY U RX INC
CH0530920 HEALTHLINC INC

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 46383-4126

Grant Number

H80CS06662

Participating Start Date

1/1/2004

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

HEALTHY U RX INC

Pharmacy Address

201 S WILLIAM ST
SOUTH BEND, IN 46601-2515

Pharmacy Comments

Contract Details

Approval Date

4/12/2024

Contract Begin Date

7/1/2024

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Melissa D Mitchell, CEO
(219) 465-9503

Contract Pharmacy Representative

Healthy U RX
Jada Bush, Pharmacist
(574) 472-7881

Signed By Date

4/12/2024