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SHRIVERS PHARMACY
CH0537630 MUSKINGUM VALLEY HEALTH CENTERS
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Covered Entity Details
Entity Name
MUSKINGUM VALLEY HEALTH CENTERS
Subdivision Name
Muskingum Valley Health Centers
Type
HRSA-Funded Health Center
340B ID
CH0537630
Entity Address
859 N Main St
Malta, OH 43758-9007
Grant Number
H80CS08783
Participating Start Date
4/1/2008
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
SHRIVERS PHARMACY
Pharmacy Address
120 S. BUCKEYE ST
CROOKSVILLE, OH 43731
Pharmacy Comments
Contract Details
Approval Date
7/15/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAN J ATKINSON, CEO
(740) 891-9090
Contract Pharmacy Representative
Coler Long Term Care/Shrivers Pharmacies
Greg Paisley, Chief Operating Officer
(740) 454-2086
Signed By Date
7/15/2019
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