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THE OHIO STATE UNIVERSITY OUTPATIENT PHA
CHC33660-00 OHIO STATE UNIVERSITY, THE
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Covered Entity Details
Entity Name
OHIO STATE UNIVERSITY, THE
Subdivision Name
Ohio State University Total Health Care Center (THCC)
Type
HRSA-Funded Health Center
340B ID
CHC33660-00
Entity Address
181 Taylor Ave Ste 1203
Columbus, OH 43203
Grant Number
H80CS33660
Participating Start Date
1/1/2020
Last Recertification Date
3/3/2025
Pharmacy Details
Pharmacy Name
THE OHIO STATE UNIVERSITY OUTPATIENT PHA
Pharmacy Address
AT THE CCCT
460 W 10TH AVE RM L012
COLUMBUS, OH 43210
Pharmacy Comments
Contract Details
Approval Date
7/13/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Candy Sue Rinehart, CEO
(614) 685-9994
Contract Pharmacy Representative
Ohio State University
Robert Joseph Weber, Chief Pharmacy Officer
(614) 293-8470
Signed By Date
7/13/2020
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