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STAKER'S SERVICE DRUGS INC
HV45662 PORTSMOUTH CITY HEALTH DEPARTMENT
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Covered Entity Details
Entity Name
PORTSMOUTH CITY HEALTH DEPARTMENT
Subdivision Name
CARE AND PREVENTION CLINIC
Type
Ryan White Part C
340B ID
HV45662
Entity Address
605 WASHINGTON STREET
PORTSMOUTH, OH 45662
Grant Number
H76HA04400
Participating Start Date
4/1/2005
Last Recertification Date
2/1/2017
Entity Termination Date
4/1/2018
Pharmacy Details
Pharmacy Name
STAKER'S SERVICE DRUGS INC
Pharmacy Address
826 CHILLICOTHE ST
PORTSMOUTH, OH 45662-4028
Pharmacy Comments
Contract Details
Approval Date
4/13/2005
Contract Begin Date
4/13/2005
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2018
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
4/13/2005
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