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RITE AID OF OHIO, INC.
CH05056J OHIO HILLS HEALTH SERVICES
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Covered Entity Details
Entity Name
OHIO HILLS HEALTH SERVICES
Subdivision Name
Caldwelll Family Health Center
Type
HRSA-Funded Health Center
340B ID
CH05056J
Entity Address
44069 Marietta Rd Ste 200
Caldwell, OH 43724-9124
Grant Number
H80CS00816
Participating Start Date
4/1/2020
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
RITE AID OF OHIO, INC.
Pharmacy Address
RITE AID #2795
148 NORTH MAIN STREET
WOODSFIELD, OH 43793
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
10/13/2021
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
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/15/2021
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