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CH05064F Family Health Services of Darke County (Active)
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Main Details
Name
Family Health Services of Darke County
Subdivision Name
Tri-Village School District
Type
HRSA-Funded Health Center
Site ID
BPS-H80-037903
340B ID
CH05064F
Grant Number
H80CS00419
Additional Details
Current Program Status
Active
Registration Date
1/4/2024
Participating Start Date
4/1/2024
Participating Approval Date
1/5/2024
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Family Health Services of Darke County,Inc.
Jared Pollick, Executive Director
(937) 548-3806
Primary Contact
Family Health Services of Darke County
Brenda Elaina Reitz, Pharmacy Director
(937) 548-2953
Addresses
Street Address
315 S Main St
New Madison, OH 45346-9797
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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