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HOOK-SUPERX, L.L.C.
CAH151310-00 Parkview Wabash Hospital, Inc
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Covered Entity Details
Entity Name
Parkview Wabash Hospital, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH151310-00
Entity Address
10 John Kissinger Drive
WABASH, IN 46992-1914
Medicare Provider Number
151310
Participating Start Date
8/12/2010
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
HOOK-SUPERX, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06513
486 N. CASS ST.,
WABASH, IN 46992
Pharmacy Comments
Contract Details
Approval Date
10/15/2015
Contract Begin Date
1/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/10/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Stanton Risser, Assoc Chief Financial Officer
(260) 266-9313
Contract Pharmacy Representative
CVS
Christian Reid, 340B Program Director, CVS Pharmacy
(401) 770-2118
Signed By Date
10/15/2015
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