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CINCINNATI HEALTH DEPARTMENT
CH05157BD CINCINNATI HEALTH NETWORK INC, THE
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Covered Entity Details
Entity Name
CINCINNATI HEALTH NETWORK INC, THE
Subdivision Name
SHELTERHOUSE
Type
HRSA-Funded Health Center
340B ID
CH05157BD
Entity Address
411 Gest Street
Cincinnati, OH 45203-1730
Grant Number
H80CS00189
Participating Start Date
7/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CINCINNATI HEALTH DEPARTMENT
Pharmacy Address
D.B.A ELM STREET HEALTH CENTER PHARMACY
1525 ELM ST
ELM STREET HEALTH CENTER PHARMACY
CINCINNATI, OH 45202
Pharmacy Comments
Contract Details
Approval Date
7/11/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kathleen M. Bennett, CEO
(513) 961-0600 Ext: 309
Contract Pharmacy Representative
City Of Cincinnati Health Department
Joyce Tate, Asst health commissioner/CEO
(513) 357-7361
Signed By Date
7/11/2018
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