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ZIKS FAMILY PHARMACY, INC #100
CHC11332-00 COMMUNITY HEALTH CENTERS OF GREATER DAYTON
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Covered Entity Details
Entity Name
COMMUNITY HEALTH CENTERS OF GREATER DAYTON
Subdivision Name
Community Health Centers of Greater Dayton - Charles Drew Health Center
Type
HRSA-Funded Health Center
340B ID
CHC11332-00
Entity Address
1323 W. 3rd St.
Dayton, OH 45402-6714
Grant Number
H80CS12882
Participating Start Date
10/1/2009
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
ZIKS FAMILY PHARMACY, INC #100
Pharmacy Address
1130 W 3RD ST,
DAYTON, OH 45402
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
11/29/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
GREGORY HOPKINS, EXECUTIVE DIRECTOR
(937) 586-9733 Ext: 1023
Contract Pharmacy Representative
Ziks Family Pharmacy
Nnodum Iheme, Owner
(937) 225-9350
Signed By Date
10/17/2022
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