340B Drug Pricing Program Database

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AVITA HEALTH SYSTEM


AVITA HEALTH SYSTEM

D.B.A AVITA CRESTLINE PHARMACY
385 N SELTZER ST UNIT 4
CRESTLINE, OH 44827



  • Contracts
  • History
12
 Item 1 to 10 of 17
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Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
 
12
 Item 1 to 10 of 17
Page:
of 2 Page size:
Details AVITA ONTARIO HOSPITALProvider Based Clinic - Richland Mall (PBC 600 - 205)Disproportionate Share Hospital600 Richland Mall, Ste 205
OntarioOH07/01/2025 4/15/2025 4:14 PM
DetailsCAH361316-00BUCYRUS COMMUNITY HOSPITAL Critical Access Hospital629 N SANDUSKY AVENUE
BUCYRUSOH07/01/2025 4/15/2025 4:08 PM
DetailsCAH361316-02BUCYRUS COMMUNITY HOSPITALProvider Based Clinic - Hill Street Suite B (PBC 140B)Critical Access Hospital140 Hill Street
B
BucyrusOH07/01/2025 4/15/2025 4:08 PM
DetailsCAH361316-03BUCYRUS COMMUNITY HOSPITALProvider Based Clinic - (PBC 629)Critical Access Hospital629 North Sandusky Avenue
BucyrusOH07/01/2025 4/15/2025 4:08 PM
DetailsCAH361316-04BUCYRUS COMMUNITY HOSPITALProvider Based Clinic - Hill Street (PBC 124) - Physician PracticeCritical Access Hospital124 Hill Street
BucyrusOH07/01/2025 4/15/2025 4:08 PM
DetailsCAH361316-05BUCYRUS COMMUNITY HOSPITALProvider Based Clinic - Hill Street Suite A (PBC 140A) - PediatricsCritical Access Hospital140 Hill Street
A
BucyrusOH07/01/2025 4/15/2025 4:09 PM
DetailsCAH361316-06BUCYRUS COMMUNITY HOSPITALProvider Based Clinic - Hill Street Suite C (PBC 140C) - Physician OfficeCritical Access Hospital140 Hill Street Suite C
BucyrusOH07/01/2025 4/15/2025 4:08 PM
DetailsCAH361316-07BUCYRUS COMMUNITY HOSPITALProvider Based Clinic - Hill Street (PBC 130) - Pain ClinicCritical Access Hospital130 Hill Street
BucyrusOH07/01/2025 4/22/2025 9:06 AM
DetailsDSH360365AVITA ONTARIO HOSPITAL Disproportionate Share Hospital715 RICHLAND MALL
ONTARIOOH07/01/2025 4/15/2025 4:13 PM
DetailsDSH360365AAVITA ONTARIO HOSPITALProvider Based Clinic - Richland Mall (PBC 600 - 203) - Internal MedDisproportionate Share Hospital600 Richland Mall, Ste 203
OntarioOH07/01/2025 4/15/2025 4:13 PM
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