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CUSTER PHARMACY
CH050560 OHIO HILLS HEALTH SERVICES
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Covered Entity Details
Entity Name
OHIO HILLS HEALTH SERVICES
Subdivision Name
BARNESVILLE FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH050560
Entity Address
101 E Main St
Barnesville, OH 43713-1005
Grant Number
H80CS00816
Participating Start Date
12/1/1992
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
CUSTER PHARMACY
Pharmacy Address
241 SOUTH MAIN STREET
CADIZ, OH 43907
Pharmacy Comments
Contract Details
Approval Date
7/2/2015
Contract Begin Date
10/1/2015
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/15/2018
Ownership change
Contacts
Covered Entity Signing Official
Jeffrey A. Britton, Chief Executive Officer
(740) 425-5165
Contract Pharmacy Representative
Harrison Community Hospital
Jason Backel, Owner
(740) 942-2726
Signed By Date
7/2/2015
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