340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ACARIAHEALTH PHARMACY #11, INC
CH058470 COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Print
Covered Entity Details
Entity Name
COLUMBUS NEIGHBORHOOD HEALTH CENTER, INC.
Subdivision Name
CNHC dba PrimaryOne Health
Type
HRSA-Funded Health Center
340B ID
CH058470
Entity Address
2780 Airport Drive, Suite 100
Columbus, OH 43219-1060
Grant Number
H80CS00118
Participating Start Date
10/1/1998
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
ACARIAHEALTH PHARMACY #11, INC
Pharmacy Address
1311 W SAM HOUSTON PKWY N STE 130
HOUSTON, TX 77043-4015
Pharmacy Comments
Contract Details
Approval Date
10/14/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/30/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Charleta B. Tavares, CEO
(614) 859-1946
Contract Pharmacy Representative
Acaria Health
Philip Gofman, Regional VP
(917) 312-5263
Signed By Date
10/14/2021
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session