340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
HOOK-SUPERX, L.L.C.
CHC26566-29 Jane Pauley Community Health Center, Inc.
Print
Covered Entity Details
Entity Name
Jane Pauley Community Health Center, Inc.
Subdivision Name
Jane Pauley Community Health Center at County Line Road Greenwood
Type
HRSA-Funded Health Center
340B ID
CHC26566-29
Entity Address
333 E County Line Rd
Greenwood, IN 46143-1079
Grant Number
H80CS26566
Participating Start Date
1/1/2025
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06585
5605 NORTH POST RD.
INDIANAPOLIS, IN 46216
Pharmacy Comments
Contract Details
Approval Date
10/1/2024
Contract Begin Date
1/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aaron Knapp, Dir of Pharmacy Operations
(812) 632-0917
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
10/1/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session