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RITE AID OF OHIO, INC.
FQHCLA418 COMPASSION HEALTH TOLEDO
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Covered Entity Details
Entity Name
COMPASSION HEALTH TOLEDO
Subdivision Name
Compassion Health Toledo - Broadway
Type
Health Center Program Look-Alike
340B ID
FQHCLA418
Entity Address
1638 Broadway Street
Toledo, OH 43609-3240
Grant Number
LALCS40185
Participating Start Date
4/1/2021
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RITE AID OF OHIO, INC.
Pharmacy Address
RITE AID #2309
1012 WEST SYLVANIA AVENUE
TOLEDO, OH 43612
Pharmacy Comments
Contract Details
Approval Date
2/11/2021
Contract Begin Date
4/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/15/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Anne Ruch, Executive Director
(419) 304-6480
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President Managed Care
(717) 975-5978
Signed By Date
1/15/2021
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