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BELLWOOD DRUGS
CH05056B OHIO HILLS HEALTH SERVICES
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Covered Entity Details
Entity Name
OHIO HILLS HEALTH SERVICES
Subdivision Name
FREEPORT FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH05056B
Entity Address
110 W Main Street
Freeport, OH 43973
Grant Number
H80CS00816
Participating Start Date
7/1/1998
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
BELLWOOD DRUGS
Pharmacy Address
135 S MAIN ST
WOODSFIELD, OH 43793-1022
Pharmacy Comments
Contract Details
Approval Date
4/15/2021
Contract Begin Date
7/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/20/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jeffrey A. Britton, Chief Executive Officer
(740) 425-5165
Contract Pharmacy Representative
Bellwood Drugs
Dan Selmon, Owner
(740) 472-0922
Signed By Date
4/15/2021
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