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OHIO CVS STORES, L.L.C.
CHC26576-01 Five Rivers Health Centers
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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 # 06186
2565 EAST MAIN ST.
SPRINGFIELD, OH 45503
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 Pharmacies
Christian Reid, 340B Program Director
(401) 770-2118
Signed By Date
7/8/2020
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