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COLER DRUG NELSONVILLE
CH05227H Hopewell Health Centers, Inc.
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Covered Entity Details
Entity Name
Hopewell Health Centers, Inc.
Subdivision Name
Hopewell Health Centers - Nelsonville
Type
HRSA-Funded Health Center
340B ID
CH05227H
Entity Address
1950 Mount Saint Mary's Drive
Nelsonville, OH 45764
Grant Number
H80CS00193
Participating Start Date
7/1/2005
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
COLER DRUG NELSONVILLE
Pharmacy Address
DBA: SHRIVERS PHARMACY #4
40 WATKINS ST
NELSONVILLE, OH 45764-1452
Pharmacy Comments
Contract Details
Approval Date
5/21/2012
Contract Begin Date
5/21/2012
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Bridenbaugh, CEO
(740) 773-1006 Ext: 2004
Contract Pharmacy Representative
Shrivers Pharmacy
John Coler, Owner
(740) 452-7685 Ext: 101
Signed By Date
5/4/2012
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