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CVS PHARMACY, INC.
CH051831A HEART OF OHIO FAMILY HEALTH CENTERS
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Covered Entity Details
Entity Name
HEART OF OHIO FAMILY HEALTH CENTERS
Subdivision Name
Capital Park Family Health Center at Innis Road
Type
HRSA-Funded Health Center
340B ID
CH051831A
Entity Address
2365 Innis Rd
Columbus, OH 43224-3730
Grant Number
H80CS07897
Participating Start Date
7/1/2014
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
CVS PHARMACY, INC.
Pharmacy Address
CVS PHARMACY # 17116
10001 COMMONS ST
LONE TREE, CO 80124
Pharmacy Comments
Contract Details
Approval Date
7/13/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
3/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
M Buhari Mohammed, CEO
(614) 338-6818 Ext: 1118
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/13/2019
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