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THE MEDICINE SHOPPE
CHC26575-00 Community Health & Wellness Partners of Logan County
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Covered Entity Details
Entity Name
Community Health & Wellness Partners of Logan County
Subdivision Name
West Liberty Community Health Center
Type
HRSA-Funded Health Center
340B ID
CHC26575-00
Entity Address
4879 US Route 68 South
West Liberty, OH 43357-1123
Grant Number
H80CS26575
Participating Start Date
7/1/2014
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
THE MEDICINE SHOPPE
Pharmacy Address
THE MEDICINE SHOPPE
821 SCIOTO ST
MEDICINE SHOPPE
URBANA, OH 43078-2179
Pharmacy Comments
Contract Details
Approval Date
10/10/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Tara Bair, President/CEO
(937) 599-1411 Ext: 250
Contract Pharmacy Representative
The Medicine Shoppe
Bryan Thompson, Owner/Pharmacist
(937) 653-3914
Signed By Date
10/10/2022
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