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SHRIVERS PHARMACY #1
CH05227E Hopewell Health Centers, Inc.
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Covered Entity Details
Entity Name
Hopewell Health Centers, Inc.
Subdivision Name
Hopewell Health Centers - New Lexington
Type
HRSA-Funded Health Center
340B ID
CH05227E
Entity Address
2541 Panther Drive
New Lexington, OH 43764
Grant Number
H80CS00193
Participating Start Date
1/1/2001
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SHRIVERS PHARMACY #1
Pharmacy Address
105 N KENNEBEC AVE
MCCONNELSVILLE, OH 43756
Pharmacy Comments
Contract Details
Approval Date
5/21/2012
Contract Begin Date
5/21/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Bridenbaugh, CEO
(740) 773-1006 Ext: 2004
Contract Pharmacy Representative
Shrivers Pharmacy
John Coler, Owner
(740) 452-7685 Ext: 101
Signed By Date
5/4/2012
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