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OHIO CVS STORES, L.L.C.
CH05166G IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
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Covered Entity Details
Entity Name
IRONTON AND LAWRENCE COUNTY AREA COMMUNITY ACTION ORGANIZATION
Subdivision Name
One Stop Family Medical Center
Type
HRSA-Funded Health Center
340B ID
CH05166G
Entity Address
120 North 3rd Street
Ironton, OH 45638-1574
Grant Number
H80CS00471
Participating Start Date
4/1/2019
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
OHIO CVS STORES, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 06349
1109 IRONTON HILLS DR.
IRONTON, OH 45638
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kelly Adkins, Chief Financial Officer
(740) 532-3534 Ext: 12004
Contract Pharmacy Representative
CVS
Christian Reed, Sr. Director
(401) 770-2118
Signed By Date
10/16/2023
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