340B Drug Pricing Program Database

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HOOK-SUPERX, L.L.C.
CH05320AN Health Net, Inc.

Covered Entity Details

HealthNet Homeless Initiative Program - Bloomington
HRSA-Funded Health Center
CH05320AN
822 W 1st St, Ste 5
Bloomington, IN 47403-2382
H80CS00114
10/1/2024
2/25/2025


Pharmacy Details

DBA: CVS/PHARMACY # 06698
2650 S. WALNUT ST.
BLOOMINGTON, IN 47401

Contract Details

9/4/2024
10/1/2024


Contacts


Varon Edward Cantrell, Chief Medical Officer
(317) 957-2015



CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
9/4/2024