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SHRIVERS PHARMACY #8
CH05227J Hopewell Health Centers, Inc.
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Covered Entity Details
Entity Name
Hopewell Health Centers, Inc.
Subdivision Name
Hopewell Health Centers - Logan
Type
HRSA-Funded Health Center
340B ID
CH05227J
Entity Address
30381 Chieftain Dr
Logan, OH 43138-1013
Grant Number
H80CS00193
Participating Start Date
4/1/2003
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SHRIVERS PHARMACY #8
Pharmacy Address
21 HOCKING MALL
LOGAN, OH 43138
Pharmacy Comments
Contract Details
Approval Date
4/3/2017
Contract Begin Date
7/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARK BRIDENBAUGH, CEO
(740) 773-1006 Ext: 2004
Contract Pharmacy Representative
Coler Long Term Care/Shrivers Pharmacies
Greg Paisley, Chief Operating Officer
(740) 454-2086
Signed By Date
4/3/2017
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