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THE LANE DRUG COMPANY
CH051780 NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
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Covered Entity Details
Entity Name
NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Subdivision Name
NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO
Type
HRSA-Funded Health Center
340B ID
CH051780
Entity Address
313 Jefferson Ave
Toledo, OH 43604-1004
Grant Number
H80CS00110
Participating Start Date
12/1/1992
Last Recertification Date
2/23/2025
Pharmacy Details
Pharmacy Name
THE LANE DRUG COMPANY
Pharmacy Address
RITE AID #2317
3013 MONROE STREET
TOLEDO, OH 43606
Pharmacy Comments
Contract Details
Approval Date
10/24/2014
Contract Begin Date
1/1/2015
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DONI MILLER, CEO
(419) 720-7883 Ext: 216
Contract Pharmacy Representative
Rite Aid
Tammy Royer, Group Vice President, Managed Care
(717) 730-8217
Signed By Date
10/24/2014
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