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HOOK-SUPERX, L.L.C.
CHC17157-06 REGIONAL HEALTH CARE AFFILIATES, INC.
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Covered Entity Details
Entity Name
REGIONAL HEALTH CARE AFFILIATES, INC.
Subdivision Name
Regional Health Care Affiliates, Inc. Doing Business As Health First Community Health Center - Earlington
Type
HRSA-Funded Health Center
340B ID
CHC17157-06
Entity Address
107 E MAIN ST
EARLINGTON, KY 42410-1333
Grant Number
H80CS17157
Participating Start Date
4/1/2016
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
CVS/PHARMACY #11114
2800 ENTERPRISE ST STE 5
INDIANAPOLIS, IN 46219-1106
Pharmacy Comments
Contract Details
Approval Date
7/3/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Shelley Renea Gobin, CEO
(270) 667-2535 Ext: 2104
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/3/2024
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