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HARBOR DRUGS, INC.
CH053092E HEALTHLINC, INC.
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Covered Entity Details
Entity Name
HEALTHLINC, INC.
Subdivision Name
HealthLinc East Chicago
Type
HRSA-Funded Health Center
340B ID
CH053092E
Entity Address
1313 W. Chicago Ave.
East Chicago, IN 46312-3260
Grant Number
H80CS06662
Participating Start Date
10/1/2013
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
HARBOR DRUGS, INC.
Pharmacy Address
DBA FAGEN PHARMACY, #23
2106 BROADWAY ST.
EAST CHICAGO, IN 46312
Pharmacy Comments
Contract Details
Approval Date
10/1/2013
Contract Begin Date
1/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2016
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Deborah Hickman, COO
(219) 465-9501
Contract Pharmacy Representative
Gerald A. Fagen, President
(219) 987-6468
Signed By Date
10/1/2013
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