Contract Pharmacy Details

PHIL'S DISCOUNT DRUGS
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

Grant Number

H80CS06662

Participating Start Date

1/1/2004

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

PHIL'S DISCOUNT DRUGS

Pharmacy Address

702 E LINCOLNWAY
LA PORTE, IN 46350

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

Phil's Pharmacy
Mark Robbins, Owner
(219) 362-7133

Signed By Date

4/12/2024

340B Drug Pricing Program Database