340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH05711E THIRD STREET COMMUNITY CLINIC (Active)
Print
Main Details
Name
THIRD STREET COMMUNITY CLINIC
Subdivision Name
Shelby Health & Wellness Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017506
340B ID
CH05711E
Grant Number
H80CS00581
Additional Details
Current Program Status
Active
Registration Date
4/6/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/8/2016
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
Third Street Community Clinic
Peggy Anderson, CEO
(419) 526-7880
Primary Contact
Third Street Community Clinic
Jason Bilyj, Director of Pharmacy
(419) 527-4105
Addresses
Street Address
31 E MAIN ST
SHELBY, OH 44875-1262
Billing Address
Third Street Community Clinic, Inc
1404 W Park Ave
Suite 2
Mansfield, OH 44906
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session