340B Drug Pricing Program Database


GREAT LAKES PHARMACY - information as of 5/6/2025 12:32:31 AM


GREAT LAKES PHARMACY

9500 MENTOR AVE STE 110
MENTOR, OH 44060-8712



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsCHC30718-00SIGNATURE HEALTH, INC.Signature Health, Inc. AdministrationHRSA-Funded Health Center7232 Justin Way
MentorOH04/01/201901/14/20221/14/2022 6:24 PM
DetailsCHC30718-01SIGNATURE HEALTH, INC.Signature Health, Inc. Painesville ClinicHRSA-Funded Health Center54 S. State St
PainesvilleOH04/01/201901/14/20221/14/2022 6:26 PM
DetailsCHC30718-02SIGNATURE HEALTH, INC.Signature Health, Inc. Willoughby ClinicHRSA-Funded Health Center38882 Mentor Avenue
WilloughbyOH04/01/201901/14/20221/14/2022 6:25 PM
DetailsCHC30718-04SIGNATURE HEALTH, INC.Signature Health Ashtabula Health CenterHRSA-Funded Health Center4726 Main Ave.
AshtabulaOH04/01/201901/14/20221/14/2022 6:27 PM
DetailsCHC30718-04SIGNATURE HEALTH, INC.Signature Health Ashtabula Health CenterHRSA-Funded Health Center4726 Main Ave.
AshtabulaOH04/01/201904/14/20224/16/2023 12:45 PM
DetailsCHC30718-05Signature Health, Inc.Signature Health, Inc. Connections LocationHRSA-Funded Health Center24200 Chagrin Blvd
BeachwoodOH04/01/201901/14/20221/14/2022 6:31 PM
DetailsCHC30718-07Signature Health, Inc.Signature Health Inc. Cleveland WestHRSA-Funded Health Center14701 Detroit Ave.
STE 620 		LakewoodOH04/01/201901/14/20221/14/2022 6:30 PM
DetailsDSH360059METROHEALTH MEDICAL CENTER Disproportionate Share Hospital2500 MetroHealth Drive
CLEVELANDOH04/01/201710/10/20191/13/2025 5:39 PM
DetailsRWI44102Nueva Luz Urban Resource Center Ryan White Part A6600 Detroit Avenue
ClevelandOH07/01/201806/12/20196/12/2019 6:22 PM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  GREAT LAKES PHARMACY 9500 MENTOR AVE STE 110 MENTOR, OH 44060-87128/11/2020 7:16 PM
AddressesPharmacy AddressInsert  GREAT LAKES PHARMACY 9500 MENTOR AVENUE SUITE 110 MENTOR, OH 440609/29/2017 6:44 AM
AddressesPharmacy AddressUpdate GREAT LAKES PHARMACY 9500 MENTOR AVENUE MENTOR, OH 44060GREAT LAKES PHARMACY 9500 MENTOR AVENUE SUITE 110 MENTOR, OH 440606/20/2014 10:27 AM
DetailsCommentsInsert   6/20/2014 10:27 AM
DetailsIs DeletedInsert  False6/20/2014 10:27 AM
AddressesPharmacy AddressInsert  GREAT LAKES PHARMACY 9500 MENTOR AVENUE MENTOR, OH 440606/20/2014 10:27 AM
DetailsNameInsert  GREAT LAKES PHARMACY6/20/2014 10:27 AM