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SHRIVERS PHARMACY
CH053763K 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
CH053763K
Entity Address
945 Bethesda Dr Ste 140
Zanesville, OH 43701-1872
Grant Number
H80CS08783
Participating Start Date
1/1/2020
Last Recertification Date
1/29/2024
Entity Termination Date
4/1/2025
Pharmacy Details
Pharmacy Name
SHRIVERS PHARMACY
Pharmacy Address
120 S. BUCKEYE ST
CROOKSVILLE, OH 43731
Pharmacy Comments
Contract Details
Approval Date
10/23/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Rebecca F Carr, Chief Financial Officer
(740) 891-9094
Contract Pharmacy Representative
Coler Long Term Care/Shrivers Pharmacies
Greg Paisley, Chief Operating Officer
(740) 454-2086
Signed By Date
10/8/2019
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