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PILLPACK LLC
CH051831D HEART OF OHIO FAMILY HEALTH CENTERS
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Covered Entity Details
Entity Name
HEART OF OHIO FAMILY HEALTH CENTERS
Subdivision Name
Heart of Ohio Family Health at Canal Winchester
Type
HRSA-Funded Health Center
340B ID
CH051831D
Entity Address
3601 Gender Rd
Canal Winchester, OH 43110
Grant Number
H80CS07897
Participating Start Date
7/1/2018
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
PILLPACK LLC
Pharmacy Address
DBA PILLPACK BY AMAZON PHARMACY
250 COMMERCIAL ST STE 2012
MANCHESTER, NH 03101
Pharmacy Comments
Contract Details
Approval Date
10/11/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
M Buhari Mohammed, CEO
(614) 338-6818 Ext: 1118
Contract Pharmacy Representative
PillPack, Inc.
Geoff Swindle, Administrator
(855) 745-5725
Signed By Date
10/11/2018
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