340B Drug Pricing Program Database


CH05099X HEALTHSOURCE OF OHIO, INC. (Active) - information as of 4/24/2025 11:58:00 PM

Main Details
HEALTHSOURCE OF OHIO, INC.
HealthSource Wilmington
HRSA-Funded Health Center
BPS-H80-012998
CH05099X
H80CS00201


Additional Details
Active
12/1/2011
1/1/2012
12/14/2011
2/10/2025

Contacts

HEALTHSOURCE OF OHIO INC
Sam Rotunna, Vice President, Pharmacy Services
(513) 732-5084

HEALTHSOURCE OF OHIO INC
Lisa Jackson, VP of Marketing and Development
(513) 576-7700

Addresses

140 W Main St
Wilmington, OH 45177-2239

HEALTHSOURCE OF OHIO, INC.
424 WARDS CORNER STE 200
LOVELAND, OH 45140-6966


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Grantee Sites
  • Grantee Sites Contract Pharmacies
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailWALGREEN CO.DBA: WALGREENS #12372 1240 COLUMBUS AVE.
WASHINGTON COURT HOUSEOH43160-165507/09/202410/01/2024  10/01/2024
Grantee Sites
340B ID 340B StatusSiteIdNameSub NameAddressAddress Cont.CityState
CH050990ActiveH80-027599HEALTHSOURCE OF OHIO, INC.HEALTHSOURCE OF OHIO, INC.424 WARDS CORNER STE 200 LOVELANDOH
CH05099ATerminatedBPS-H80-000229HEALTHSOURCE OF OHIO, INC.RIPLEY14 N 2nd St RipleyOH
CH05099AAActiveBPS-H80-012809HEALTHSOURCE OF OHIO, INC.HealthSource Lebanon1231 Columbus Ave UNIT A1 LebanonOH
CH05099ABActiveBPS-H80-006460HEALTHSOURCE OF OHIO, INC.SBHC-HAMERSVILLE ELEM/MIDDLE SCH1950 STREET ROUTE 125 HAMERSVILLEOH
CH05099ACActiveBPS-H80-006124HEALTHSOURCE OF OHIO, INC.HealthSource Western Brown474 W Main St Mount OrabOH
CH05099ADActiveBPS-H80-021161HEALTHSOURCE OF OHIO, INC.Healthsource Batavia Ob/Gyn2055 Hospital Dr. Ste 220 BataviaOH
CH05099AEActiveBPS-H80-021645HEALTHSOURCE OF OHIO, INC.HealthSource West Clermont1341 Clough Pike BataviaOH
CH05099AFTerminatedBPS-H80-027599Healthsource Of Ohio, Inc.HealthSource of Ohio, Inc.424 Wards Corner STE 200 LovelandOH
CH05099AGActiveBPS-H80-030893HEALTHSOURCE OF OHIO, INC.HealthSource Williamsburg500 S 5th St Ste 202 WilliamsburgOH
CH05099AHActiveBPS-H80-035599HEALTHSOURCE OF OHIO INCHealthSource Felicity105 Market Street STE 100 FelicityOH
CH05099AJActiveBPS-H80-035829HEALTHSOURCE OF OHIO INCHealthSource Goshen6696 Goshen Rd. STE 324 GoshenOH
CH05099AKActiveBPS-H80-038507HEALTHSOURCE OF OHIO INCHealthsource Blanchester957A Cherry St BlanchesterOH
CH05099EActiveBPS-H80-013589HEALTHSOURCE OF OHIO, INC.HealthSource Loveland6535 Charles Snider Rd LovelandOH
CH05099FActiveBPS-H80-009192HEALTHSOURCE OF OHIO, INC.HealthSource New Richmond100 RIVER VALLEY BLVD NEW RICHMONDOH
CH05099GActiveBPS-H80-013663HEALTHSOURCE OF OHIO, INC.HealthSource Mt. Orab150 Health Partners Circle Mt. OrabOH
CH05099IActiveBPS-H80-011924HEALTHSOURCE OF OHIO, INC.HealthSource Hillsboro1108 Northview Dr HillsboroOH
CH05099LActiveBPS-H80-009599HEALTHSOURCE OF OHIO, INC.HealthSource Batavia Family Practice & Pharmacy2055 Hospital Dr STE 130 BataviaOH
CH05099QActiveBPS-H80-013763HEALTHSOURCE OF OHIO, INC.HealthSource Washington Court House308 Highland Ave. Washington Court HouseOH
CH05099SActiveBPS-H80-017106HEALTHSOURCE OF OHIO, INC.HEALTHSOURCE GEORGETOWN631 E STATE ST. GEORGETOWNOH
CH05099VActiveBPS-H80-004668HEALTHSOURCE OF OHIO, INC.HealthSource Seaman218 STERN DRIVE SEAMANOH
CH05099WActiveBPS-H80-009189HEALTHSOURCE OF OHIO, INC.HealthSource Eastgate Pediatrics4627 Aicholtz Rd. CincinnatiOH
CH05099XActiveBPS-H80-012998HEALTHSOURCE OF OHIO, INC.HealthSource Wilmington140 W Main St WilmingtonOH
CH05099YActiveBPS-H80-017234HEALTHSOURCE OF OHIO, INC.HealthSource Anderson Ob/Gyn8000 5 Mile Rd.Ste 207CincinnatiOH
CH05099ZActiveBPS-H80-021857HEALTHSOURCE OF OHIO, INC.HealthSource Mt. Washington6131 Campus Ln. CincinnatiOH
Grantee Sites Contract Pharmacies
340B IDPharmacy NameAddressAddress Cont.CityStateZip CodeBegin DateCarve-In Effective DateTermination Date
CH050990ACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750207/01/2023  
CH050990ACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884907/01/2023  
CH050990ACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201007/01/2023  
CH050990ACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/01/2023  
CH050990ACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607507/01/2023  
CH050990ACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624107/01/2023 03/31/2025
CH050990ACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282207/01/2023  
CH050990AHSSHCEXPEDIEN RX PHARMACY 5050 WESLEY RD STE 120
APOPKAFL3271210/01/2019 05/09/2020
CH050990AMAZON PHARMACY #0014500 S PLEASANT VALLEY RD STE 201
AUSTINTX78744-291110/01/2019 01/31/2025
CH050990AZ PHARMACY, LLCDBA AMAZON PHARMACY #002 3809 E WATKINS ST
PHOENIXAZ8503410/01/2019 01/31/2025
CH050990BARR'S PHARMACY OF HILLSBORO119 S HIGH ST
HILLSBOROOH4513304/01/2022  
CH050990BATAVIA COMMUNITY PHARMACY2234 BAUER RD, STE A
BATAVIAOH45103-199601/01/2022 03/31/2025
CH050990BERRY PHARMACY CO INC  1041 B OLD U.S. 52
NEW RICHMONDOH4515704/01/2016 07/25/2017
CH05099GBERRY PHARMACY CO INC  1041 B OLD U.S. 52
NEW RICHMONDOH4515706/01/2010 07/25/2017
CH05099FBERRY PHARMACY CO INC  1041 B OLD U.S. 52
NEW RICHMONDOH4515712/21/2010 07/25/2017
CH050990BERRY PHARMACY COMPANY, INC1041 OLD US HIGHWAY 52 STE B
NEW RICHMONDOH45157-853701/01/2018 06/30/2024
CH050990BERTRAM GEORGETOWN PHARMACY LLCD.B.A DONOHOO PHARMACY 114 S MAIN ST
GEORGETOWNOH4512111/08/2021  
CH050990BERTRAM RIPLEY PHARMACYD.B.A BRISTOW PHARMACY 100 MAIN ST
RIPLEYOH4516711/08/2021  
CH050990BERTRAM SARDINIA PHARMACYD.B.A SARDINIA PHARMACY 7110 BACHMAN RD UNIT 2
SARDINIAOH4517101/01/2024  
CH050990BIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526104/01/2024  
CH050990BIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267004/01/2024 10/14/2024
CH050990BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522604/01/2024  
CH050990BIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771304/01/2024  
CH050990BIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620301/01/2025  
CH050990CAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361404/01/2017 11/30/2017
CH050990CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/01/2017 11/30/2017
CH050990CAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005604/01/2024  
CH050990CAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621904/01/2017 11/30/2017
CH050990CAREMARK MASSACHUSETTS SPECIALTY PHARMACDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 25 BIRCH STREET, BLDG B, SUITE 100
MILFORDMA0175704/01/2017 11/30/2017
CH050990CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808304/01/2017 11/30/2017
CH050990CAREMARK MICHIGAN SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1307 ALLEN DR STE H
TROYMI4808304/01/2024  
CH050990CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/01/2017 11/30/2017
CH050990CAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/01/2024  
CH050990CAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761704/01/2017 11/30/2017
CH050990CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813304/01/2017 11/30/2017
CH050990CAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813304/01/2024  
CH050990CAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237404/01/2017 11/30/2017
CH050990CVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870610/01/2021  
CH050990CVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2021  
CH05099FCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005610/01/2024  
CH050990CVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/01/2024  
CH050990CYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/01/2017  
CH050990DIVVYMED, LLCDIVVYMED LLC DBA DIVVYDOSE 4300 44TH AVE
MOLINEIL6126501/01/2025  
CH050990DOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654104/01/2024  
CH050990DONOHOO PHARMACY INC114 SOUTH MAIN STREET
GEORGETOWNOH45121-129210/19/2011 11/10/2021
CH05099SDONOHOO PHARMACY INC114 SOUTH MAIN STREET
GEORGETOWNOH45121-129212/17/2010 03/22/2022
CH050990DONOHOO PHARMACY INC114 SOUTH MAIN STREET
GEORGETOWNOH45121-129211/16/2021 03/22/2022
CH050990ESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111207/01/2023  
CH050990EXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313407/01/2023  
CH050990EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607507/01/2023  
CH050990EXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801607/01/2023  
CH050990FITZGERALD'S PHARMACY305 W MAIN ST
WILLIAMSBURGOH45176-130901/01/2020 01/31/2025
CH050990FITZGERALD'S SEAMAN PHARMACY17860-A STATE ROUTE 247 PO BOX 100
SEAMANOH4567901/01/2020 01/31/2025
CH050990FITZGERALDS BETHEL PHARMACY697 WEST PLANE STREET
BETHELOH4510601/01/2020 03/19/2020
CH050990GENOA HEALTHCARE LLC43 E MAIN STREET, STE 113
AMELIAOH4510210/01/2022  
CH050990GENOA HEALTHCARE LLC2621 VICTORY PKWY STE P
CINCINNATIOH4520610/01/2022  
CH050990GENOA HEALTHCARE LLC901 WASHINGTON STREET ROOM 135
PORTSMOUTHOH4566210/01/2022  
CH05099EHealthSource Mt. Orab Pharmacy150 Health Partners Circle
Mt. OrabOH4515412/01/2010 05/11/2018
CH05099LHealthSource Mt. Orab Pharmacy150 Health Partners Circle
Mt. OrabOH4515411/10/2010 05/11/2018
CH05099AHealthSource Mt. Orab Pharmacy150 Health Partners Circle
Mt. OrabOH4515412/21/2010 07/01/2017
CH05099QHealthSource Mt. Orab Pharmacy150 Health Partners Circle
Mt. OrabOH4515412/01/2010 05/11/2018
CH05099SHealthSource Mt. Orab Pharmacy150 Health Partners Circle
Mt. OrabOH4515412/01/2010 05/11/2018
CH05099FHealthSource Mt. Orab Pharmacy150 Health Partners Circle
Mt. OrabOH4515412/21/2010 05/11/2018
CH05099VHealthSource Mt. Orab Pharmacy150 Health Partners Circle
Mt. OrabOH4515412/01/2010 05/11/2018
CH05099IHealthSource Mt. Orab Pharmacy150 Health Partners Circle
Mt. OrabOH4515412/01/2010 05/11/2018
CH05099WHealthSource Mt. Orab Pharmacy150 Health Partners Circle
Mt. OrabOH4515412/01/2010 05/11/2018
CH05099EHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 05/11/2018
CH05099LHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 05/11/2018
CH05099GHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 05/11/2018
CH05099AHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 07/01/2017
CH05099QHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 05/11/2018
CH05099SHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 05/11/2018
CH05099FHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 05/11/2018
CH05099VHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 05/11/2018
CH05099IHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 05/11/2018
CH05099WHEALTHSOURCE OF OHIO BATAVIA PHARMACY2055 HOSPITAL DR STE 130
BATAVIAOH45103-197804/01/2011 05/11/2018
CH05099AHEALTHSOURCE OF OHIO GOSHEN PHARMACY  1515 STATE ROUTE 28
SUITE C 		LOVELANDOH4514005/04/2011 07/01/2017
CH05099EHEALTHSOURCE SEAMAN PHARMACY218 STERN DRIVE
SEAMANOH4567912/01/2010 05/11/2018
CH05099LHEALTHSOURCE SEAMAN PHARMACY218 STERN DRIVE
SEAMANOH4567911/10/2010 05/11/2018
CH05099GHEALTHSOURCE SEAMAN PHARMACY218 STERN DRIVE
SEAMANOH4567912/01/2010 05/11/2018
CH05099AHEALTHSOURCE SEAMAN PHARMACY218 STERN DRIVE
SEAMANOH4567912/21/2010 07/01/2017
CH05099QHEALTHSOURCE SEAMAN PHARMACY218 STERN DRIVE
SEAMANOH4567912/01/2010 05/11/2018
CH05099SHEALTHSOURCE SEAMAN PHARMACY218 STERN DRIVE
SEAMANOH4567912/01/2010 05/11/2018
CH05099FHEALTHSOURCE SEAMAN PHARMACY218 STERN DRIVE
SEAMANOH4567912/21/2010 05/11/2018
CH05099IHEALTHSOURCE SEAMAN PHARMACY218 STERN DRIVE
SEAMANOH4567912/01/2010 05/11/2018
CH05099WHEALTHSOURCE SEAMAN PHARMACY218 STERN DRIVE
SEAMANOH4567912/01/2010 05/11/2018
CH050990KENTUCKY CENTRAL FILL FACILITY, L-0105594 SHEPHERDSVILLE ROAD
LOUISVILLEKY40228-101201/01/2020 12/20/2019
CH05099LKROGER #144382120 BEECHMONT AVENUE
CINCINNATIOH4523003/14/2011 10/11/2022
CH050990KROGER #144382120 BEECHMONT AVENUE
CINCINNATIOH4523004/25/2011  
CH05099GKROGER #144382120 BEECHMONT AVENUE
CINCINNATIOH4523003/14/2011 10/11/2022
CH05099FKROGER #144382120 BEECHMONT AVENUE
CINCINNATIOH4523003/14/2011 10/11/2022
CH05099WKROGER #144382120 BEECHMONT AVENUE
CINCINNATIOH4523003/14/2011 10/11/2022
CH050990KROGER COLUMBUS CENTRAL FILL #0192270 RICKENBACKER PKWY W
COLUMBUSOH4321704/01/2017  
CH050990KROGER PHARMACY548 CLINTON AVENUE
WASHINGTON CHOH4316004/25/2011  
CH05099QKROGER PHARMACY548 CLINTON AVENUE
WASHINGTON CHOH4316006/04/2007 10/11/2022
CH05099IKROGER PHARMACY548 CLINTON AVENUE
WASHINGTON CHOH4316003/14/2011 10/11/2022
CH05099AKKROGER PHARMACY548 CLINTON AVENUE
WASHINGTON CHOH4316001/01/2025  
CH05099EKROGER PHARMACY #0143054630 AICHOLTZ RD.
CINCINNATIOH4524403/14/2011 08/10/2022
CH05099LKROGER PHARMACY #0143054630 AICHOLTZ RD.
CINCINNATIOH4524403/14/2011 08/10/2022
CH050990KROGER PHARMACY #0143054630 AICHOLTZ RD.
CINCINNATIOH4524404/25/2011 08/10/2022
CH05099GKROGER PHARMACY #0143054630 AICHOLTZ RD.
CINCINNATIOH4524403/14/2011 08/10/2022
CH05099FKROGER PHARMACY #0143054630 AICHOLTZ RD.
CINCINNATIOH4524403/14/2011 08/10/2022
CH05099WKROGER PHARMACY #0143054630 AICHOLTZ RD.
CINCINNATIOH4524403/14/2011 08/10/2022
CH05099EKROGER PHARMACY #014380575 HARRY SAUNER ROAD
HILLSBOROOH4513303/14/2011 10/11/2022
CH050990KROGER PHARMACY #014380575 HARRY SAUNER ROAD
HILLSBOROOH4513304/25/2011  
CH05099GKROGER PHARMACY #014380575 HARRY SAUNER ROAD
HILLSBOROOH4513303/14/2011 10/11/2022
CH05099QKROGER PHARMACY #014380575 HARRY SAUNER ROAD
HILLSBOROOH4513303/14/2011 10/11/2022
CH05099VKROGER PHARMACY #014380575 HARRY SAUNER ROAD
HILLSBOROOH4513303/14/2011 10/11/2022
CH05099IKROGER PHARMACY #014380575 HARRY SAUNER ROAD
HILLSBOROOH4513303/11/2008 10/11/2022
CH05099EKROGER PHARMACY #0143951001 CHERRY STREET, SUITE A
BLANCHESTEROH4510703/14/2011 10/11/2022
CH050990KROGER PHARMACY #0143951001 CHERRY STREET, SUITE A
BLANCHESTEROH4510704/25/2011  
CH05099GKROGER PHARMACY #0143951001 CHERRY STREET, SUITE A
BLANCHESTEROH4510703/14/2011 10/11/2022
CH05099IKROGER PHARMACY #0143951001 CHERRY STREET, SUITE A
BLANCHESTEROH4510703/14/2011 10/11/2022
CH05099EKROGER PHARMACY #014413800 LOVELAND-MADEIRA RD
LOVELANDOH4514003/14/2011 10/11/2022
CH050990KROGER PHARMACY #014413800 LOVELAND-MADEIRA RD
LOVELANDOH4514004/25/2011  
CH05099WKROGER PHARMACY #014413800 LOVELAND-MADEIRA RD
LOVELANDOH4514003/14/2011 10/11/2022
CH050990KROGER PHARMACY #014420381 MARKET SQUARE DRIVE
MAYSVILLEKY4105604/25/2011 12/28/2020
CH05099GKROGER PHARMACY #014420381 MARKET SQUARE DRIVE
MAYSVILLEKY4105603/14/2011 12/28/2020
CH05099AKROGER PHARMACY #014420381 MARKET SQUARE DRIVE
MAYSVILLEKY4105603/14/2011 07/01/2017
CH05099SKROGER PHARMACY #014420381 MARKET SQUARE DRIVE
MAYSVILLEKY4105603/14/2011 12/28/2020
CH05099VKROGER PHARMACY #014420381 MARKET SQUARE DRIVE
MAYSVILLEKY4105603/14/2011 12/28/2020
CH05099EKROGER PHARMACY #014431450 OHIO PIKE
CINCINNATIOH4525503/14/2011 10/11/2022
CH05099LKROGER PHARMACY #014431450 OHIO PIKE
CINCINNATIOH4525503/14/2011 10/11/2022
CH050990KROGER PHARMACY #014431450 OHIO PIKE
CINCINNATIOH4525504/25/2011  
CH05099GKROGER PHARMACY #014431450 OHIO PIKE
CINCINNATIOH4525503/14/2011 10/11/2022
CH05099FKROGER PHARMACY #014431450 OHIO PIKE
CINCINNATIOH4525503/14/2011 10/11/2022
CH05099WKROGER PHARMACY #014431450 OHIO PIKE
CINCINNATIOH4525503/14/2011 10/11/2022
CH05099EKROGER PHARMACY #0144356388 BRANCH HILL-GUINEA PIKE
LOVELANDOH4514003/14/2011 10/11/2022
CH05099LKROGER PHARMACY #0144356388 BRANCH HILL-GUINEA PIKE
LOVELANDOH4514003/14/2011 10/11/2022
CH050990KROGER PHARMACY #0144356388 BRANCH HILL-GUINEA PIKE
LOVELANDOH4514004/25/2011  
CH05099WKROGER PHARMACY #0144356388 BRANCH HILL-GUINEA PIKE
LOVELANDOH4514003/14/2011 10/11/2022
CH050990KROGER PHARMACY #0144471425 COLUMBUS AVENUE
LEBANONOH4503604/01/2020  
CH05099LKROGER PHARMACY #014468262 W. MAIN STREET
AMELIAOH4510203/14/2011 10/11/2022
CH050990KROGER PHARMACY #014468262 W. MAIN STREET
AMELIAOH4510204/25/2011  
CH05099GKROGER PHARMACY #014468262 W. MAIN STREET
AMELIAOH4510203/14/2011 10/11/2022
CH05099AKROGER PHARMACY #014468262 W. MAIN STREET
AMELIAOH4510203/14/2011 07/01/2017
CH05099SKROGER PHARMACY #014468262 W. MAIN STREET
AMELIAOH4510203/14/2011 10/11/2022
CH05099FKROGER PHARMACY #014468262 W. MAIN STREET
AMELIAOH4510203/14/2011 10/11/2022
CH05099WKROGER PHARMACY #014468262 W. MAIN STREET
AMELIAOH4510203/14/2011 10/11/2022
CH05099AHKROGER PHARMACY #014468262 W. MAIN STREET
AMELIAOH4510210/01/2024  
CH050990KROGER PHARMACY #014492148 E TOWNE CENTER BLVD
MAINEVILLEOH4503904/01/2020  
CH050990KROGER PHARMACY #0148171230 ROMBACH AVENUE
WILMINGTONOH4517704/01/2016  
CH05099AAKROGER PHARMACY #0148171230 ROMBACH AVENUE
WILMINGTONOH4517710/01/2024  
CH05099LKROGER PHARMACY #0149157580 BEECHMONT AVENUE
CINCINNATIOH4525503/14/2011 10/11/2022
CH050990KROGER PHARMACY #0149157580 BEECHMONT AVENUE
CINCINNATIOH4525504/25/2011  
CH05099FKROGER PHARMACY #0149157580 BEECHMONT AVENUE
CINCINNATIOH4525503/14/2011 10/11/2022
CH05099WKROGER PHARMACY #0149157580 BEECHMONT AVENUE
CINCINNATIOH4525503/14/2011 10/11/2022
CH05099EKROGER PHARMACY #0149211093 STATE ROUTE 28
MILFORDOH4515003/14/2011 10/11/2022
CH05099LKROGER PHARMACY #0149211093 STATE ROUTE 28
MILFORDOH4515003/14/2011 10/11/2022
CH050990KROGER PHARMACY #0149211093 STATE ROUTE 28
MILFORDOH4515004/25/2011  
CH05099WKROGER PHARMACY #0149211093 STATE ROUTE 28
MILFORDOH4515003/14/2011 10/11/2022
CH05099EKROGER PHARMACY #9024530 EASTGATE BOULEVARD, SUITE #500
CINCINNATIOH45245-125603/14/2011 10/11/2022
CH05099LKROGER PHARMACY #9024530 EASTGATE BOULEVARD, SUITE #500
CINCINNATIOH45245-125603/14/2011 10/11/2022
CH050990KROGER PHARMACY #9024530 EASTGATE BOULEVARD, SUITE #500
CINCINNATIOH45245-125604/25/2011  
CH05099GKROGER PHARMACY #9024530 EASTGATE BOULEVARD, SUITE #500
CINCINNATIOH45245-125603/14/2011 10/11/2022
CH05099FKROGER PHARMACY #9024530 EASTGATE BOULEVARD, SUITE #500
CINCINNATIOH45245-125603/14/2011 10/11/2022
CH05099WKROGER PHARMACY #9024530 EASTGATE BOULEVARD, SUITE #500
CINCINNATIOH45245-125603/14/2011 10/11/2022
CH05099EKROGER PHARMACY 0143446725 DICK FLYNN BLVD.
GOSHENOH4512203/14/2011 10/11/2022
CH05099LKROGER PHARMACY 0143446725 DICK FLYNN BLVD.
GOSHENOH4512203/14/2011 10/11/2022
CH050990KROGER PHARMACY 0143446725 DICK FLYNN BLVD.
GOSHENOH4512204/25/2011  
CH05099WKROGER PHARMACY 0143446725 DICK FLYNN BLVD.
GOSHENOH4512203/14/2011 10/11/2022
CH05099EKROGER PHARMACY 014411824 MAIN STREET
MILFORDOH4515003/14/2011 10/11/2022
CH05099LKROGER PHARMACY 014411824 MAIN STREET
MILFORDOH4515003/14/2011 10/11/2022
CH050990KROGER PHARMACY 014411824 MAIN STREET
MILFORDOH4515004/25/2011  
CH05099WKROGER PHARMACY 014411824 MAIN STREET
MILFORDOH4515003/14/2011 10/11/2022
CH05099LKROGER PHARMACY 014920210 STERLING RUN BLVD.
MT. ORABOH4515403/14/2011 10/11/2022
CH050990KROGER PHARMACY 014920210 STERLING RUN BLVD.
MT. ORABOH4515404/25/2011  
CH05099GKROGER PHARMACY 014920210 STERLING RUN BLVD.
MT. ORABOH4515403/14/2011 10/11/2022
CH05099AKROGER PHARMACY 014920210 STERLING RUN BLVD.
MT. ORABOH4515403/14/2011 07/01/2017
CH05099SKROGER PHARMACY 014920210 STERLING RUN BLVD.
MT. ORABOH4515403/14/2011 10/11/2022
CH05099VKROGER PHARMACY 014920210 STERLING RUN BLVD.
MT. ORABOH4515403/14/2011 10/11/2022
CH05099IKROGER PHARMACY 014920210 STERLING RUN BLVD.
MT. ORABOH4515403/14/2011 10/11/2022
CH05099WKROGER PHARMACY 014920210 STERLING RUN BLVD.
MT. ORABOH4515403/14/2011 10/11/2022
CH05099ACKROGER PHARMACY 014920210 STERLING RUN BLVD.
MT. ORABOH4515410/01/2024  
CH050990LA PHARMACY LLC1048 S GARFIELD AVE STE 101
ALHAMBRACA9180104/01/2022 12/25/2023
CH050990M.N. PHARMACY LLCDBA AMAZON PHARMACY #003 6701 NW 7TH ST., STE. #199
MIAMIFL3312610/01/2019 01/31/2025
CH050990MEIJER DISTRIBUTION INC #902721 WALKER AVE NW
GRAND RAPIDSMI4954410/01/2017  
CH050990MEIJER PHARMACY #148888 EASTGATE NORTH ROAD
CINCINNATIOH4524510/01/2017  
CH050990MEIJER PHARMACY #1571082 SR 28
MILFORDOH45150-208210/01/2017  
CH050990MEIJER PHARMACY #46441255 COCA COLA DR.
BELLEVILLEMI48111-182710/01/2017  
CH050990MEIJER STORES LIMITED PARTNERSHIPD/B/A MEIJER PHARMACY #463 1515 PROFIT DR.
FORT WAYNEIN4680810/01/2017  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03446 1400 N. HIGH ST
HILLSBOROOH4513310/01/2014  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05429 521 EAST STATE STREET
GEORGETOWNOH4512110/01/2014  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05431 592 WEST PLANE STREET
BETHELOH4510610/01/2014  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03978 1137 STATE ROUTE 131
MILFORDOH4515001/01/2016  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03408 1795 COLUMBUS AVENUE
WASHINGTONCOURTHSEOH4316001/01/2016  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 07776 52 W. MAIN ST.
AMELIAOH4510201/01/2016  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 07790 947 CINCINNATI BATAVIA PIKE
CINCINNATIOH4524501/01/2016  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06098 120 E. MAIN STREET
WILMINGTONOH4517704/01/2017  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06085 10554 LOVELAND-MADERIA ROAD
LOVELANDOH4514004/01/2019 12/05/2023
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06123 7410 BEECHMONT AVE
CINCINNATIOH4525504/01/2019  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06105 610 CHERRY ST.
BLANCHESTEROH4510704/01/2019  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02964 6632 S. STATE ROUTE 48
MAINEVILLEOH4503904/01/2019  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06086 605 COLUMBUS AVE.
LEBANONOH4503604/01/2019  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06079 921 LILA AVE.
MILFORDOH4515004/01/2019 06/13/2024
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06081 934 E. MCMILLAN ST.
CINCINNATIOH4520604/01/2019 03/31/2021
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05426 9197 READING RD.
CINCINNATIOH4521504/01/2020 03/31/2021
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06090 8872 COLUMBIA RD.
MAINEVILLEOH4503904/01/2020  
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 02764 7314 MONTGOMERY RD.
CINCINNATIOH4523604/01/2020 03/31/2021
CH050990OHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06954 820 S BREIEL BLVD
MIDDLETOWNOH4504404/01/2020 03/31/2021
CH05099SOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05429 521 EAST STATE STREET
GEORGETOWNOH4512110/01/2024  
CH05099AJOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 06098 120 E. MAIN STREET
WILMINGTONOH4517710/01/2024  
CH05099EOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03978 1137 STATE ROUTE 131
MILFORDOH4515010/01/2024  
CH05099ABOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 05431 592 WEST PLANE STREET
BETHELOH4510610/01/2024  
CH05099ADOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 07776 52 W. MAIN ST.
AMELIAOH4510210/01/2024  
CH05099QOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03408 1795 COLUMBUS AVENUE
WASHINGTONCOURTHSEOH4316010/01/2024  
CH05099AGOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 03446 1400 N. HIGH ST
HILLSBOROOH4513310/01/2024  
CH05099ZOHIO CVS STORES, L.L.C.DBA: CVS/PHARMACY # 07790 947 CINCINNATI BATAVIA PIKE
CINCINNATIOH4524510/01/2024  
CH050990OPTUM PHARMACY 700, LLC5700 DOT COM CT, STE 1000
OVIEDOFL3276510/01/2022  
CH050990OPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705810/01/2022  
CH050990OPTUM PHARMACY 701, LLC4015 SHOPTON RD STE 600
CHARLOTTENC28217-302510/01/2022  
CH050990OPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850710/01/2022  
CH050990OPTUM PHARMACY 701, LLC1830 S HORNE
MESAAZ8520401/01/2025  
CH050990OPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/01/2022  
CH050990OPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824910/01/2022  
CH050990OPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729810/01/2022  
CH050990OPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983810/01/2022  
CH050990OVERLAKE PHARMACY, LLC4124 148TH AVE NE STE JA
REDMONDWA9805204/01/2022 12/25/2023
CH050990PENNSYLVANIA CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 01311 2651 EASTON AVENUE
BETHLEHEMPA1801704/01/2019  
CH050990PILLPACK LLCDBA PILLPACK BY AMAZON PHARMACY 250 COMMERCIAL ST STE 2012
MANCHESTERNH0310110/01/2019 01/31/2025
CH050990PRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999210/01/2017  
CH050990PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514604/01/2017 11/30/2017
CH050990PROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514604/01/2024  
CH050990PROCARE PHARMACY, L.L.C.DBA CVS/PHARMACY #11338 10160 INTERNATIONAL BLVD.
WEST CHESTEROH4524604/01/2024  
CH050990RAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255004/01/2024  
CH050990RITE AID OF OHIO, INC.RITE AID #142 421 NORTH HIGH STREET
HILLSBOROOH4513310/01/2014 08/15/2024
CH050990RITE AID OF OHIO, INC.RITE AID #3466 109 JEFFERSON STREET
GREENFIELDOH4512307/01/2015 08/15/2024
CH050990RIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500204/01/2024 10/14/2024
CH050990SANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301304/01/2024 10/14/2024
CH050990STEWART'S PHARMACY  ARNOLD'S APOTHECARY INC DBA
1013 JEFFERSON ST 		GREENFIELDOH4512310/19/2011 01/01/2016
CH050990STEWART'S PHARMACYOLAKER'S APOTHECARY LLC DBA 1013 JEFFERSON ST
GREENFIELDOH45123-128304/01/2016 01/01/2019
CH05099QSTEWART'S PHARMACY  ARNOLD'S APOTHECARY INC DBA
1013 JEFFERSON ST 		GREENFIELDOH4512309/20/2011 01/01/2019
CH05099ISTEWART'S PHARMACY  ARNOLD'S APOTHECARY INC DBA
1013 JEFFERSON ST 		GREENFIELDOH4512309/20/2011 01/01/2019
CH050990TRUEPILL3121 DIABLO AVE
HAYWARDCA9454504/01/2022 12/25/2023
CH050990TRUEPILL NY LLC850 3RD AVE STE 404
BROOKLYNNY11232-152304/01/2022 12/25/2023
CH050990WAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/01/2017  
CH050990WAL-MART PHARMACY #10-33421815 E OHIO PIKE
AMELIAOH45102-238009/21/2012  
CH050990WAL-MART PHARMACY 10-12892825 PROGRESS WAY
WILMINGTONOH45177-771010/01/2017  
CH050990WAL-MART PHARMACY 10-136811217 STATE ROUTE 41
WEST UNIONOH4569308/31/2012  
CH050990WAL-MART PHARMACY 10-14071530 WAL-MART DRIVE
LEBANONOH4503610/01/2019  
CH050990WAL-MART PHARMACY 10-14434370 EASTGATE SQUARE DRIVE
CINCINNATIOH4524510/01/2018  
CH050990WAL-MART PHARMACY 10-1569240 WAL-MART WAY
MAYSVILLEKY4105610/01/2019  
CH050990WAL-MART PHARMACY 10-32511397 LEESBURG AVENUE
WASHINGTON COURT HOUSEOH4316008/31/2012  
CH050990WAL-MART PHARMACY 10-3515540 HARRY SAUNER ROAD
HILLSBOROOH4513308/31/2012  
CH050990WAL-MART PHARMACY 10-5499201 CHAMBER DRIVE
MILFORDOH4515010/01/2019  
CH050990WAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/01/2017  
CH050990WALGREEN CO.DBA: WALGREENS #12372 1240 COLUMBUS AVE.
WASHINGTON COURT HOUSEOH43160-165509/20/2011  
CH050990WALGREEN CO.DBA: WALGREENS # 03864 719 OHIO PIKE
CINCINNATIOH4524509/20/2011  
CH050990WALGREEN CO.DBA: WALGREENS # 02875 1982 8 MILE ROAD
CINCINNATIOH4525509/20/2011  
CH050990WALGREEN CO.DBA: WALGREENS # 07637 1243 STATE ROUTE 28
MILFORDOH45150-224809/20/2011  
CH050990WALGREEN CO.DBA: WALGREENS # 07489 57 W MAIN STREET
AMELIAOH45102-173709/20/2011  
CH050990WALGREEN CO.DBA: WALGREENS # 09042 932 LILA AVE
MILFORDOH45150-168309/20/2011 11/12/2019
CH050990WALGREEN CO.DBA: WALGREENS #11158 1090 NORTHVIEW DR.
HILLSBOROOH4513309/20/2011  
CH050990WALGREEN CO.DBA: WALGREENS # 09636 6385 BRANCH HILL GUINEA PIKE
LOVELANDOH4514009/20/2011  
CH050990WALGREEN CO.DBA: WALGREENS # 06191 10529 LOVELAND-MADEIRA RD
LOVELANDOH45140-896309/20/2011  
CH050990WALGREEN CO.DBA: WALGREENS #11294 1070 WESTERN AVE.
CHILLICOTHEOH45601-117409/20/2011 03/14/2016
CH050990WALGREEN CO.DBA: WALGREENS # 12831 7135 BEECHMONT AVE
CINCINNATIOH4523002/24/2012  
CH050990WALGREEN CO.DBA: WALGREENS # 07900 2203 BEECHMONT AVE
CINCINNATIOH45230-151804/01/2015  
CH050990WALGREEN CO.DBA: WALGREENS # 07877 7398 WOOSTER PIKE
CINCINNATIOH45227-383407/01/2016  
CH050990WALGREEN CO.DBA: WALGREENS # 07332 904 COLUMBUS AVE
LEBANONOH45036-140204/01/2017  
CH050990WALGREEN CO.WALGREENS SPECIALTY PHARMACY #16524 260 STETSON ST
SUITE F 		CINCINNATIOH4521907/01/2018  
CH05099YWALGREEN CO.WALGREENS SPECIALTY PHARMACY #16524 260 STETSON ST
SUITE F 		CINCINNATIOH4521910/01/2024  
CH05099IWALGREEN CO.DBA: WALGREENS #11158 1090 NORTHVIEW DR.
HILLSBOROOH4513310/01/2024  
CH05099WWALGREEN CO.DBA: WALGREENS # 07637 1243 STATE ROUTE 28
MILFORDOH45150-224810/01/2024  
CH05099AEWALGREEN CO.DBA: WALGREENS # 07489 57 W MAIN STREET
AMELIAOH45102-173710/01/2024  
CH05099XWALGREEN CO.DBA: WALGREENS #12372 1240 COLUMBUS AVE.
WASHINGTON COURT HOUSEOH43160-165510/01/2024  
CH050990Walgreens Central Fill #213994132Plainfield Rd
Ste 110 		IndianapolisIN46231-702107/01/2023  
CH050990WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527510/01/2017  
CH050990WALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700810/01/2017 08/31/2021
CH050990WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818810/01/2017  
CH050990WALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503310/01/2017  
CH050990WALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275607/01/2023  
CH050990Walmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616801/01/2024  
CH050990WATERS PHARMACY INCDBA BRISTOW PHARMACY 100 MAIN ST
RIPLEYOH45167-123210/19/2011 11/10/2021
CH05099GWATERS PHARMACY INCDBA BRISTOW PHARMACY 100 MAIN ST
RIPLEYOH45167-123206/01/2010 03/22/2022
CH05099AWATERS PHARMACY INCDBA BRISTOW PHARMACY 100 MAIN ST
RIPLEYOH45167-123212/21/2010 07/01/2017
CH050990WATERS PHARMACY INCDBA BRISTOW PHARMACY 100 MAIN ST
RIPLEYOH45167-123211/16/2021 03/22/2022
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification1/30/2024 4:43:34 PM2/10/2025 11:17:51 AM2/10/2025 11:17 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestRotunna, Sam Director of Pharmacy Operations HEALTHSOURCE OF OHIO INC 5137325084Rotunna, Sam Vice President, Pharmacy Services HEALTHSOURCE OF OHIO INC 51373250842/10/2025 10:18 AM
ContactsAuthorizing OfficialUpdateAO Change RequestJackson, Lisa VP of Marketing and Development HEALTHSOURCE OF OHIO INC 5135767700Rotunna, Sam Director of Pharmacy Operations HEALTHSOURCE OF OHIO INC 51373250842/10/2025 9:50 AM
ContactsPrimary ContactUpdateAO Change RequestRotunna, Sam Director of Pharmacy Operations HEALTHSOURCE OF OHIO INC 5137325084Jackson, Lisa VP of Marketing and Development HEALTHSOURCE OF OHIO INC 51357677002/10/2025 9:50 AM
ContactsAuthorizing OfficialUpdateAO Change RequestPATTON, KIM CEO HealthSource of Ohio 5135767700Jackson, Lisa VP of Marketing and Development HEALTHSOURCE OF OHIO INC 51357677005/28/2024 6:31 PM
DetailsLast Recertification DateUpdateRecertification1/30/2023 1:20:03 PM1/30/2024 4:43:34 PM1/30/2024 4:43 PM
DetailsLast Recertification DateUpdateRecertification2/8/2022 3:49:02 PM1/30/2023 1:20:03 PM1/30/2023 1:20 PM
DetailsLast Recertification DateUpdateRecertification2/4/2021 8:19:21 AM2/8/2022 3:49:02 PM2/8/2022 3:49 PM
DetailsLast Recertification DateUpdateRecertification1/29/2020 12:19:49 PM2/4/2021 8:19:21 AM2/4/2021 8:19 AM
DetailsLast Recertification DateUpdateRecertification1/30/2019 4:26:25 PM1/29/2020 12:19:49 PM1/29/2020 12:19 PM
AddressesBilling AddressUpdateChange RequestHEALTHSOURCE OF OHIO, INC. 5400 DUPONT CIRCLE, SUITE A MILFORD, OH 45150HEALTHSOURCE OF OHIO, INC. 424 WARDS CORNER STE 200 LOVELAND, OH 45140-69664/18/2019 3:07 PM
DetailsLast Recertification DateUpdateRecertification2/12/2018 2:55:26 PM1/30/2019 4:26:25 PM1/30/2019 4:26 PM
DetailsEntity NameUpdateChange RequestHealthSource of OhioHEALTHSOURCE OF OHIO, INC.6/1/2018 4:18 PM
DetailsLast Recertification DateUpdateRecertification1/31/2017 12:00:00 AM2/12/2018 2:55:26 PM2/12/2018 2:55 PM
ContactsAuthorizing OfficialUpdate PATTON, KIM CEO 5135767700PATTON, KIM CEO HealthSource of Ohio 513576770010/2/2017 4:12 PM
ContactsPrimary ContactUpdate Rotunna, Sam Director of Pharmacy Operations 5137325084Rotunna, Sam Director of Pharmacy Operations HEALTHSOURCE OF OHIO INC 51373250849/29/2017 11:45 AM
ContactsAuthorizing OfficialInsert  PATTON, KIM CEO 51357677007/12/2017 2:19 PM
ContactsPrimary ContactUpdate LUND, JEFF ACCOUNTANT 5135767700-3644Rotunna, Sam Director of Pharmacy Operations 51373250847/11/2017 6:58 PM
AddressesMain AddressInsert   140 W Main St Wilmington, OH 45177-22396/19/2017 2:05 PM
AddressesBilling AddressInsert  HEALTHSOURCE OF OHIO, INC. 5400 DUPONT CIRCLE, SUITE A MILFORD, OH 451506/19/2017 2:05 PM
ContactsSigned ByInsert  Patton, Kim President & CEO 51357677006/19/2017 2:05 PM
ContactsPrimary ContactUpdate Lund, Jeff Accounting Manager 5135767700-3644LUND, JEFF ACCOUNTANT 5135767700-36445/25/2017 10:20 AM
DetailsLast Recertification DateUpdate 2/23/2016 12:00:00 AM1/31/2017 12:00:00 AM1/31/2017 10:20 AM
DetailsLast Recertification DateUpdate 3/4/2015 12:00:00 AM2/23/2016 12:00:00 AM2/23/2016 11:11 AM
ContactsPrimary ContactUpdate MCCLAIN, ANDREA PROCESS CONTROL MANAGER 5135767700-3672Lund, Jeff Accounting Manager 5135767700-36443/4/2015 11:50 AM
DetailsLast Recertification DateUpdate 3/23/2014 12:00:00 AM3/4/2015 12:00:00 AM3/4/2015 11:50 AM
DetailsLast Recertification DateUpdate 4/1/2013 12:00:00 AM3/23/2014 12:00:00 AM3/23/2014 11:10 PM
DetailsLast Recertification DateUpdate  4/1/2013 12:00:00 AM2/26/2013 10:23 AM
ContactsPrimary ContactInsert  MCCLAIN, ANDREA PROCESS CONTROL MANAGER 5135767700-36725/14/2012 10:24 AM
DatesParticipating Approval DateUpdate  12/14/2011 12:00:00 AM12/14/2011 5:39 PM
DetailsStateUpdate PendingActive12/14/2011 5:39 PM
DatesStart DateUpdate  1/1/2012 12:00:00 AM12/14/2011 5:39 PM
DetailsGrant NumberUpdate  H80CS0020112/1/2011 10:43 AM
Details340B IDUpdate ONLINE_REGCH05099X12/1/2011 10:43 AM
DetailsLast Recertification DateInsert   12/1/2011 9:30 AM
DetailsGrant NumberInsert   12/1/2011 9:30 AM
Details340B IDInsert  ONLINE_REG12/1/2011 9:30 AM
DetailsIs Authorizing Official EHB DataInsert   12/1/2011 9:30 AM
DatesLast Date That 340B Drugs PurchasedInsert   12/1/2011 9:30 AM
DetailsMedicare Provider NumberInsert   12/1/2011 9:30 AM
DetailsEntity NameInsert  HealthSource of Ohio12/1/2011 9:30 AM
DetailsProgram CodeInsert  CH12/1/2011 9:30 AM
DetailsEntity SubnameInsert  HealthSource Wilmington12/1/2011 9:30 AM
DatesParticipating Approval DateInsert   12/1/2011 9:30 AM
DetailsStateInsert  Pending12/1/2011 9:30 AM
DatesRegistration DateInsert  12/1/2011 12:00:00 AM12/1/2011 9:30 AM
DatesSigned By DateInsert  12/1/2011 12:00:00 AM12/1/2011 9:30 AM
DatesStart DateInsert   12/1/2011 9:30 AM
TerminationsTermination CommentsInsert   12/1/2011 9:30 AM
TerminationsTermination DateInsert   12/1/2011 9:30 AM
TerminationsTermination Effective DateInsert   12/1/2011 9:30 AM
TerminationsTermination ReasonInsert   12/1/2011 9:30 AM