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CVS CAREMARK
CHC25683-00 CINCINNATI, CITY OF
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Covered Entity Details
Entity Name
CINCINNATI, CITY OF
Subdivision Name
Elm Street Health Center
Type
HRSA-Funded Health Center
340B ID
CHC25683-00
Entity Address
1525 Elm Street
Cincinnati, OH 45202-6957
Grant Number
H80CS25683
Participating Start Date
4/1/2013
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
CVS CAREMARK
Pharmacy Address
DBA CVS/CAREMARK OR CF# 11506
1 GREAT VALLEY BOULEVARD
WILKES BARRE, PA 18706
Pharmacy Comments
Contract Details
Approval Date
1/9/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/3/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Joyce Tate, Asst health commissioner/CEO
(513) 357-7361
Contract Pharmacy Representative
City of Cincinnati Health Department
David W Miller, Director of Pharmacy
(513) 357-7357
Signed By Date
1/9/2023
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