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SHRIVERS PHARMACY
CH053763H MUSKINGUM VALLEY HEALTH CENTERS
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Covered Entity Details
Entity Name
MUSKINGUM VALLEY HEALTH CENTERS
Subdivision Name
Muskingum Valley Health Centers
Type
HRSA-Funded Health Center
340B ID
CH053763H
Entity Address
2725 Pinkerton Ln
Zanesville, OH 43701-1513
Grant Number
H80CS08783
Participating Start Date
1/1/2018
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
SHRIVERS PHARMACY
Pharmacy Address
120 S. BUCKEYE ST
CROOKSVILLE, OH 43731
Pharmacy Comments
Contract Details
Approval Date
7/16/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAN J ATKINSON, CEO
(740) 891-9090
Contract Pharmacy Representative
Coler Long Term Care/Shrivers Pharmacies
Greg Paisley, Chief Operating Officer
(740) 454-2086
Signed By Date
7/16/2018
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