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FRUTH PHARMACY OF OHIO, INC.
CH05166J 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
Rock Hill Schools
Type
HRSA-Funded Health Center
340B ID
CH05166J
Entity Address
2325C County Road 26
Ironton, OH 45638-8385
Grant Number
H80CS00471
Participating Start Date
4/1/2021
Last Recertification Date
2/12/2025
Pharmacy Details
Pharmacy Name
FRUTH PHARMACY OF OHIO, INC.
Pharmacy Address
FRUTH PHARMACY #26
1848 STATE ROUTE 141
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
Fruth Pharmacy
Andy Becker, VP Pharmacy
(304) 675-1612 Ext: 10117
Signed By Date
10/16/2023
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