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CENTERWELL PHARMACY, INC.
CH091540 OPEN DOOR COMMUNITY HEALTH CENTERS
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Covered Entity Details
Entity Name
OPEN DOOR COMMUNITY HEALTH CENTERS
Subdivision Name
Arcata Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH091540
Entity Address
1150 Foster Avenue
Arcata, CA 95521-6210
Grant Number
H80CS00225
Participating Start Date
7/1/1996
Last Recertification Date
2/24/2025
Pharmacy Details
Pharmacy Name
CENTERWELL PHARMACY, INC.
Pharmacy Address
9843 WINDISCH RD
WEST CHESTER, OH 45069
Pharmacy Comments
Contract Details
Approval Date
5/17/2023
Contract Begin Date
5/23/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Natasha Wood, Chief Financial Officer
(707) 616-6927
Contract Pharmacy Representative
Centerwell
Shelley Duke, Director, Pharmacy Market Development
(504) 705-6802 Ext: 5027056802
Signed By Date
5/17/2023
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