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DAYTON OSTEOPATHIC HOSPITAL
CHC08753-00 BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
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Covered Entity Details
Entity Name
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Subdivision Name
Hamilton Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC08753-00
Entity Address
210 South Second Street
Hamilton, OH 45011
Grant Number
H80CS08753
Participating Start Date
4/1/2006
Last Recertification Date
2/21/2025
Pharmacy Details
Pharmacy Name
DAYTON OSTEOPATHIC HOSPITAL
Pharmacy Address
DBA: KETTERING HEALTH PHARMACY - DAYTON
405 W GRAND AVE
DAYTON, OH 45405
Pharmacy Comments
Contract Details
Approval Date
4/12/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
MARC BELLISARIO, CEO/EXECUTIVE DIRECTOR
(513) 454-1459
Contract Pharmacy Representative
KHN
Kevin Blackburn, Pharmacy Director
(937) 458-4932
Signed By Date
4/12/2022
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