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BELMONT COUNTY HEALTH SERVICES, INC.
CH05056F OHIO HILLS HEALTH SERVICES
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Covered Entity Details
Entity Name
OHIO HILLS HEALTH SERVICES
Subdivision Name
MONROE FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH05056F
Entity Address
37984 Airport Rd
Woodsfield, OH 43793-9247
Grant Number
H80CS00816
Participating Start Date
7/1/1998
Last Recertification Date
2/9/2022
Entity Termination Date
4/1/2023
Pharmacy Details
Pharmacy Name
BELMONT COUNTY HEALTH SERVICES, INC.
Pharmacy Address
DBA CUSTER PHARMACY
241 S MAIN ST
CADIZ, OH 43907
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
4/1/2023
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Jeffrey A. Britton, Chief Executive Officer
(740) 425-5165
Contract Pharmacy Representative
Wheeling Hospital
Anthony Martinelli, Director of Pharmacy
(304) 243-3000
Signed By Date
4/15/2021
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