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GIANT EAGLE PHARMACY #0230
CH050920 NEIGHBORHOOD HEALTH CARE INCORPORATED
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH CARE INCORPORATED
Subdivision Name
Ridge Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH050920
Entity Address
3569 Ridge Rd
Cleveland, OH 44102-5443
Grant Number
H80CS00665
Participating Start Date
10/1/1997
Last Recertification Date
2/18/2025
Pharmacy Details
Pharmacy Name
GIANT EAGLE PHARMACY #0230
Pharmacy Address
3050 W. 117TH STREET
CLEVELAND, OH 44111
Pharmacy Comments
Contract Details
Approval Date
1/14/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
JEAN POLSTER, PRESIDENT, CEO
(216) 281-0872 Ext: 1261
Contract Pharmacy Representative
Giant Eagle, Inc.
Mike Bianco, Senior Pharmacy Manager
(412) 967-3718
Signed By Date
1/14/2020
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