340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
OHIO CVS STORES, L.L.C.
CH050920 NEIGHBORHOOD HEALTH CARE INCORPORATED
Print
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
OHIO CVS STORES, L.L.C.
Pharmacy Address
CVS PHARMACY # 17305
3535 STEELYARD DR
CLEVELAND, OH 44109
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/8/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
JEAN POLSTER, PRESIDENT, CEO
(216) 281-0872 Ext: 1261
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
7/14/2020
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