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TOLEDO FAMILY PHARMACY
CH0516380 HEALTH PARTNERS OF WESTERN OHIO
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Covered Entity Details
Entity Name
HEALTH PARTNERS OF WESTERN OHIO
Subdivision Name
Dr.Gene Wright Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH0516380
Entity Address
441 E 8th St,
Lima, OH 45804-2482
Grant Number
H80CS04212
Participating Start Date
1/1/2005
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
TOLEDO FAMILY PHARMACY
Pharmacy Address
324 MAIN ST
TOLEDO, OH 43605
Pharmacy Comments
Contract Details
Approval Date
7/5/2023
Contract Begin Date
10/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/8/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Janis Sunderhaus, CEO
(419) 221-3072 Ext: 1101
Contract Pharmacy Representative
Health Partners Of Western Ohio
Sierra Ruth Neu, Pharmacy Services Manager
(419) 221-3072 Ext: 1127
Signed By Date
7/5/2023
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