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RITE AID OF OHIO, INC.
CHC33659-01 My Community Health Center
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Covered Entity Details
Entity Name
My Community Health Center
Subdivision Name
My Community Health Center - Magnolia
Type
HRSA-Funded Health Center
340B ID
CHC33659-01
Entity Address
10029 Cleveland Ave. S
Magnolia, OH 44643-9781
Grant Number
H80CS33659
Participating Start Date
4/1/2020
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RITE AID OF OHIO, INC.
Pharmacy Address
RITE AID #2437
8619 WAYNESBURG DR SE
WAYNESBURG, OH 44688
Pharmacy Comments
Contract Details
Approval Date
10/13/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/15/2024
Pharmacy closed
Contacts
Covered Entity Signing Official
Juan Paulo Afable, CEO
(502) 509-8987
Contract Pharmacy Representative
My Community Health Center
Juan Paulo Afable, CEO
(502) 509-8987
Signed By Date
10/13/2023
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