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CENTER FOR FAMILIES AND CHILDREN PHARMAC
CHC24111-04 CIRCLE HEALTH SERVICES
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Covered Entity Details
Entity Name
CIRCLE HEALTH SERVICES
Subdivision Name
Health and Wellness Gordon Square
Type
HRSA-Funded Health Center
340B ID
CHC24111-04
Entity Address
5209 Detroit Avenue
Cleveland, OH 44102-2224
Grant Number
H80CS24111
Participating Start Date
10/1/2018
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
CENTER FOR FAMILIES AND CHILDREN PHARMAC
Pharmacy Address
5209 DETROIT AVE.
CLEVELAND, OH 44102
Pharmacy Comments
Contract Details
Approval Date
10/11/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2019
Ownership change
Contacts
Covered Entity Signing Official
Farah Munir, Chief Medical Officer
(216) 707-3465
Contract Pharmacy Representative
Circle Health Services/The Centers
Marianella Napolitano, Chief Integrated Health Officer
(216) 509-3224
Signed By Date
10/11/2018
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