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OHIO CVS STORES, L.L.C.
CH056440 OHIO NORTH EAST HEALTH SYSTEMS INC
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Covered Entity Details
Entity Name
OHIO NORTH EAST HEALTH SYSTEMS INC
Subdivision Name
Youngstown Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH056440
Entity Address
726 Wick Ave
Youngstown, OH 44505-2827
Grant Number
H80CS00196
Participating Start Date
4/1/1999
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
CVS PHARMACY # 16644
5555 YOUNGSTOWN WARREN RD
NILES, OH 44446
Pharmacy Comments
Contract Details
Approval Date
1/3/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Ronald Dwinnells, CEO
(330) 747-2330
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
1/3/2020
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