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OHIO CVS STORES, L.L.C.
RRC360239-00 Kettering Health Miamisburg
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Covered Entity Details
Entity Name
Kettering Health Miamisburg
Subdivision Name
Type
Rural Referral Center
340B ID
RRC360239-00
Entity Address
4000 Miamisburg-Centerville Rd
MIAMISBURG, OH 45342
Medicare Provider Number
360239
Participating Start Date
4/1/2021
Last Recertification Date
8/14/2024
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY #06138
1205 EAST CENTRAL AVENUE
MIAMISBURG, OH 45342
Pharmacy Comments
Contract Details
Approval Date
4/14/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/9/2022
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
William E Villegas, Regional VP of Finance
(937) 723-3414
Contract Pharmacy Representative
CVS Health
Christian J Reid, 340B Program Director
(401) 374-9782
Signed By Date
4/14/2021
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