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B AND W PHARMACY INC
CH053763C MUSKINGUM VALLEY HEALTH CENTERS
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Covered Entity Details
Entity Name
MUSKINGUM VALLEY HEALTH CENTERS
Subdivision Name
MUSKINGUM VALLEY HEALTH CENTERS
Type
HRSA-Funded Health Center
340B ID
CH053763C
Entity Address
406 S 15th St
Coshocton, OH 43812-2285
Grant Number
H80CS08783
Participating Start Date
7/1/2015
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
B AND W PHARMACY INC
Pharmacy Address
501 DIETZ LN
P O BOX 697
BEVERLY, OH 45715
Pharmacy Comments
Contract Details
Approval Date
7/6/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAN J ATKINSON, CEO
(740) 891-9090
Contract Pharmacy Representative
B&W Pharmacy
Jarrod Kasun, Owner
(740) 984-2305
Signed By Date
7/6/2021
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