340B Drug Pricing Program Database

Pharmacy Name

HEALTHSOURCE OF OHIO BATAVIA PHARMACY

Pharmacy Address

2055 HOSPITAL DR
STE 130
BATAVIA, OH 45103-1978

Pharmacy Comments

Approval Date

3/31/2011

Contract Begin Date

4/1/2011

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/11/2018
Agreement registered in error

Covered Entity Signing Official


Contract Pharmacy Representative

Signed By Date

3/28/2011