340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OHIO CVS STORES, L.L.C.
CHC26576-01 Five Rivers Health Centers
Print
Covered Entity Details
Entity Name
Five Rivers Health Centers
Subdivision Name
Five Rivers Medical Surgical Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26576-01
Entity Address
725 South Ludlow
Dayton, OH 45402
Grant Number
H80CS26576
Participating Start Date
10/1/2014
Last Recertification Date
2/9/2022
Entity Termination Date
1/1/2023
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 05364
2375 BEECHWOOD DRIVE
GERMANTOWN, OH 45327
Pharmacy Comments
Contract Details
Approval Date
7/8/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Diane M. Cummins, Chief Operating Officer
(937) 281-5942
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/8/2020
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