340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
NORTHSIDE PAVILION PHARMACY
CH053763A MUSKINGUM VALLEY HEALTH CENTERS
Print
Covered Entity Details
Entity Name
MUSKINGUM VALLEY HEALTH CENTERS
Subdivision Name
MUSKINGUM VALLEY HEALTH CENTERS
Type
HRSA-Funded Health Center
340B ID
CH053763A
Entity Address
716 ADAIR AVE
ZANESVILLE, OH 43701-2836
Grant Number
H80CS08783
Participating Start Date
4/1/2008
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
NORTHSIDE PAVILION PHARMACY
Pharmacy Address
945 BETHESDA DR
ZANESVILLE, OH 43701-0801
Pharmacy Comments
Contract Details
Approval Date
10/11/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2023
Pharmacy closed
Contacts
Covered Entity Signing Official
DAN J ATKINSON, CEO
(740) 891-9090
Contract Pharmacy Representative
Northside Pharmacy
EJ Stoepfel, Director
(740) 454-5666
Signed By Date
10/11/2019
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session