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OHIO CVS STORES, L.L.C.
CHC11332-00 COMMUNITY HEALTH CENTERS OF GREATER DAYTON
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Subdivision Name
Community Health Centers of Greater Dayton - Charles Drew Health Center
Type
HRSA-Funded Health Center
340B ID
CHC11332-00
Entity Address
1323 W. 3rd St.
Dayton, OH 45402-6714
Grant Number
H80CS12882
Participating Start Date
10/1/2009
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06144
2657 W. ALEX BELL RD
MORAINE, OH 45459
Pharmacy Comments
Contract Details
Approval Date
11/27/2020
Contract Begin Date
12/2/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/26/2022
Pharmacy closed
Contacts
Covered Entity Signing Official
GREGORY HOPKINS, EXECUTIVE DIRECTOR
(937) 586-9733 Ext: 1023
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
11/27/2020
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