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SHRIVERS PHARMACY #1
CH052270 Hopewell Health Centers, Inc.
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Covered Entity Details
Entity Name
Hopewell Health Centers, Inc.
Subdivision Name
Hopewell Health Centers - Chillicothe
Type
HRSA-Funded Health Center
340B ID
CH052270
Entity Address
1049 WESTERN AVENUE
CHILLICOTHE, OH 45601
Grant Number
H80CS00193
Participating Start Date
4/1/1996
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
SHRIVERS PHARMACY #1
Pharmacy Address
105 N KENNEBEC AVE
MCCONNELSVILLE, OH 43756
Pharmacy Comments
Contract Details
Approval Date
10/12/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Bridenbaugh, Chief Executive Officer
(740) 773-1006 Ext: 2004
Contract Pharmacy Representative
Shrivers Pharmacy
John Coler, Owner
(740) 452-7685 Ext: 101
Signed By Date
10/12/2023
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