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HOOK-SUPERX, L.L.C.
FQHCLA476J COMMUNITY HEALTHNET INC
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Covered Entity Details
Entity Name
COMMUNITY HEALTHNET INC
Subdivision Name
Community HealthNet South
Type
Health Center Program Look-Alike
340B ID
FQHCLA476J
Entity Address
6100 Broadway
Merrillville, IN 46410-3002
Grant Number
LALCS53695
Participating Start Date
1/1/2025
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06917
5301 BROADWAY
MERRILLVILLE, IN 46410
Pharmacy Comments
Contract Details
Approval Date
4/15/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Janet Seabrook, CEO
(219) 484-2442
Contract Pharmacy Representative
CVS Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118
Signed By Date
4/15/2025
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