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MEDWORKS PHARMACY
CHC26566-00 JANE PAULEY COMMUNITY HEALTH CENTER, INC.
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Covered Entity Details
Entity Name
JANE PAULEY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Jane Pauley Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26566-00
Entity Address
8931 E. 30th Street
Indianapolis, IN 46219-1501
Grant Number
H80CS26566
Participating Start Date
4/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MEDWORKS PHARMACY
Pharmacy Address
MEDWORKS INC
2123 INTELLIPLEX DR
SHELBYVILLE, IN 46176
Pharmacy Comments
Contract Details
Approval Date
1/7/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Aaron Knapp, Dir of Pharmacy Operations
(812) 632-0917
Contract Pharmacy Representative
Major Hospital
Ralph N Mercuri, CFO
(317) 398-5254
Signed By Date
1/7/2025
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