340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DISCOUNT DRUG MART
CH05711H THIRD STREET COMMUNITY CLINIC
Print
Covered Entity Details
Entity Name
THIRD STREET COMMUNITY CLINIC
Subdivision Name
Five Points Primary Care
Type
HRSA-Funded Health Center
340B ID
CH05711H
Entity Address
200 Park Ave W
Mansfield, OH 44902-1608
Grant Number
H80CS00581
Participating Start Date
4/1/2017
Last Recertification Date
2/27/2025
Pharmacy Details
Pharmacy Name
DISCOUNT DRUG MART
Pharmacy Address
219 MANSFIELD AVE
SHELBY, OH 44875
Pharmacy Comments
Contract Details
Approval Date
1/11/2024
Contract Begin Date
4/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Peggy Anderson, CEO
(419) 526-7880
Contract Pharmacy Representative
Discount Drug Mart
Pete Ratycz, Vice President of Pharmacy
(330) 725-2340
Signed By Date
1/11/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session